Individual
MISS MARIGRACE MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, L.AC
Contact information
Practice address
1416 N DONNELLY ST, MOUNT DORA, FL 32757-2814
(352) 735-0979
(352) 735-4772
Mailing address
PO BOX 2012, MOUNT DORA, FL 32756-2012
(352) 735-0979
(352) 735-4772
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1485
FL
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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