Organization
SOUL SPROUT FAMILY ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN GIESE DAOM, LAC (OWNER, LICENSED ACUPUNCTURIST)
(201) 563-0659
Entity
Organization
Contact information
Practice address
10 E WILLOW ST, MILLBURN, NJ 07041-1417
(201) 563-0659
Mailing address
10 E WILLOW ST, MILLBURN, NJ 07041-1417
(201) 563-0659
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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