Individual
JULIA M THEOHAROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC., DIPL. AC.
Contact information
Practice address
1554 UNION VALLEY RD, WEST MILFORD, NJ 07480-1357
(973) 769-7805
Mailing address
13 SHEPHERD DR, WANAQUE, NJ 07465-1017
(973) 769-7805
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00096400
NJ
Other
Enumeration date
01/04/2013
Last updated
04/18/2017
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