Organization
R4, LLC
Active
Other names
R4 WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN CHAMBERLAIN (OWNER)
(410) 638-5544
Entity
Organization
Contact information
Practice address
424 BARNES ST, 2ND FLOOR, BEL AIR, MD 21014-3958
(410) 638-5544
Mailing address
424 BARNES ST, 2ND FLOOR, BEL AIR, MD 21014-3958
(410) 638-5544
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01599
MD
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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