Toni Janell Idiaquez LAC

NPI 1083878540 - Acupuncturist - 171100000X

NPI Details
NPI 1083878540
Gender Female
Enumeration Date 07/14/2008
Last Updated 07/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
328 MAPLE ST
CARROLLTON GA, 30117-3235, US
Phone (770) 313-0106
Fax (404) 474-7031
Business Location
4685 CHAMBLEE DUNWOODY RD
J3
ATLANTA GA, 30338-6323, US
Phone (770) 313-0106
Fax (404) 474-7031
Toxanomy
Taxonomy Code 171100000X
License State Georgia
License Number 000063
Remove 1083878540 NPI Number
 

According to our database, Mrs. Toni Janell Idiaquez LAC NPI is 1083878540, taxonomy code is 171100000X and license number is 000063, license state is located at Georgia. Toni Janell Idiaquez LAC physically located at 328 Maple St, Carrollton GA, 30117-3235. NPI Number Toni Janell Idiaquez LAC has the Individual type.

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1083878540 NPI number is provided on an as is basis without warranty of any kind. 1083878540 is maintained by the National Plan & Provider Enumeration System. The contents of Toni Janell Idiaquez LAC are for informational purposes only.