Kenkodo Acupuncture And Massage LLC
Clinic/Center in Somerville, MA. Organization (NPI-2).
NPI number1760127872
StatusActive
Last updated in NPPESMay 3, 2022
Details
- NPI
- 1760127872
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenkodo Acupuncture And Massage LLC
- Organization subpart
- No
- Enumeration date
- May 3, 2022
- Certification date
- May 3, 2022
- Last updated
- May 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
735 BroadwaySomerville, MA 02144-2110
Phone 617-957-8141
Mailing address
735 BroadwaySomerville, MA 02144-2110
Phone 617-957-8141
Authorized official
Lori Jean Pino
Owner
6179578141
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