Takiesa Grant L.AC.

NPI 1205241700 - Acupuncturist - 171100000X

NPI Details
NPI 1205241700
Gender Female
Enumeration Date 06/24/2014
Last Updated 06/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
7750 MONTPELIER RD
LAUREL MD, 20723-6010, US
Phone (912) 596-8911
Fax
Business Location
10645 GRAMERCY PL
#351
COLUMBIA MD, 21044-6073, US
Phone (912) 596-8911
Fax
Toxanomy
Taxonomy Code 171100000X
License State Maryland
License Number U02158
Remove 1205241700 NPI Number
 

According to our database, Ms. Takiesa Grant L.AC. NPI is 1205241700, taxonomy code is 171100000X and license number is U02158, license state is located at Maryland. Takiesa Grant L.AC. physically located at 7750 Montpelier Rd, Laurel MD, 20723-6010. NPI Number Takiesa Grant L.AC. has the Individual type.

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1205241700 NPI number is provided on an as is basis without warranty of any kind. 1205241700 is maintained by the National Plan & Provider Enumeration System. The contents of Takiesa Grant L.AC. are for informational purposes only.