MEDICARE: JANET BORGES 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	0121000327	VA

General Provider Information

NPI Number	:	1861877532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET BORGES L.AC.

Provider Business Mailing Address
First Line	:	3126 W CARY ST
Second Line	:	164
City	:	RICHMOND
State	:	VA
Zip	:	23221-3504
Country	:	US
Telephone Number	:	804-405-2330
Fax Number	:

Provider Business Practice Location Address
First Line	:	8401 PATTERSON AVE
Second Line	:	SUITE 103
City	:	RICHMOND
State	:	VA
Zip	:	23229-6430
Country	:	US
Telephone Number	:	804-405-2330
Fax Number	:

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

Provider Enumeration Date	:	07/23/2015
Last Update Date	:	07/23/2015

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