| |
8789 Easton Road, Revere, PA 18953 | |
(484) 707-0468 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 8789 Easton Road, Revere, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477893469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | KO000654 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
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1 Alexander Rd, Kintnersville, PA 18930-9800 Ph: (484) 707-0468 | 8789 Easton Road, Revere, PA 18953 Ph: (484) 707-0468 |
Ms. Brenda Schaufele, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 8789 Easton Road, Revere, PA 18953 Phone: 484-707-0468 |