Healthcare Provider Details
I. General information
NPI: 1326720673
Provider Name (Legal Business Name): ENJOY ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2023
Last Update Date: 08/07/2023
Certification Date: 08/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9803 ALLENFORD CIR APT 202
ROCKVILLE MD
20850-7524
US
IV. Provider business mailing address
9803 ALLENFORD CIR APT 202
ROCKVILLE MD
20850-7524
US
V. Phone/Fax
- Phone: 443-248-5856
- Fax:
- Phone: 443-248-5856
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAORONG
YAO
Title or Position: OWNER
Credential: ACUPUNCTURIST
Phone: 443-248-5856