Organization
ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA RUTH JOHNSON LIC.AC. (PRESIDENT)
(410) 740-1750
Entity
Organization
Contact information
Practice address
4964 WOODWARD GDNS, COLUMBIA, MD 21044-1525
(410) 740-1750
(410) 740-4330
Mailing address
4964 WOODWARD GDNS, COLUMBIA, MD 21044-1525
(410) 740-1750
(410) 740-4330
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00736
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LU81
CAREFIRST BC BS
MD
01
—
S225-0001
CAREFIRST BC BS
DC
Enumeration date
04/06/2007
Last updated
08/22/2020
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