MEDICARE: MS. TIANA MICHELE GUINARD L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	U01533	MD

General Provider Information

NPI Number	:	1245418011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TIANA MICHELE GUINARD L.AC.

Provider Business Mailing Address
First Line	:	692B RITCHIE HWY
Second Line	:	SUITE 205
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-3938
Country	:	US
Telephone Number	:	410-384-1615
Fax Number	:

Provider Business Practice Location Address
First Line	:	692B RITCHIE HWY
Second Line	:	SUITE 205
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-3938
Country	:	US
Telephone Number	:	410-384-1615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	02/04/2008

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