Provider First Line Business Practice Location Address:
25 TERHUNE AVE
Provider Second Line Business Practice Location Address:
LOTUS AFFORDABLE ACUPUNCTURE, LLC.
Provider Business Practice Location Address City Name:
LODI
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07644-2153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-688-6633
Provider Business Practice Location Address Fax Number:
973-272-6046
Provider Enumeration Date:
10/18/2010