MR. Charles Blaine Illingworth IV, DIPL.AC., L.AC.
NPI #1356813059 in Lansdale, Pennsylvania
Provider Information
- NPI Number
- 1356813059
- Entity Type
- Individual
- Name
- MR. Charles Blaine Illingworth IV, DIPL.AC., L.AC.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Acupuncturist
- Credential
- DIPL.AC., L.AC.
- Enumeration Date
- Dec 19, 2018
- Last Updated
- Dec 19, 2018
Practice Location
- Address
- 601 E MAIN ST
- City
- Lansdale
- State
- Pennsylvania
- ZIP Code
- 19446-2947
- Phone
- (610) 724-3284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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