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SHEREEN AMRIA LAC

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1710380803

Individual Registrant:
 SHEREEN  AMRIA LAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
135 HOWELL RD STE C  TYRONE, GA 30290-2096 US
Tel: 770-304-6627  Fax: --

Contact information for business:
135 HOWELL RD STE C  TYRONE, GA 30290-2096 US
Tel: 770-304-6627  Fax: --

Registration Information:
NPI: 1710380803
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N171100000XOther Service Providers
Acupuncturist
SCTL237
Y171100000XOther Service Providers
Acupuncturist
GA367

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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