Individual
EVAN BUSSANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
154 MOUNT ROYAL DR, ARDEN, NC 28704-2831
(828) 490-1799
Mailing address
154 MOUNT ROYAL DR, ARDEN, NC 28704-2831
(828) 490-1799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
588
NC
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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