Ryan Kristopher Davenport, L.A.C.

NPI #1649518192 in Mundelein, Illinois

Provider Information

NPI Number
1649518192
Entity Type
Individual
Name
Ryan Kristopher Davenport, L.A.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Acupuncturist
Credential
L.A.C.
Enumeration Date
Jan 17, 2013
Last Updated
Jan 17, 2013

Practice Location

Address
700 N LAKE ST
Address 2
#102
ZIP Code
60060-1357
Phone
(847) 949-0063

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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