Eliza Mellen-Smith, LIC. AC.

NPI #1700901659 in Marblehead, Massachusetts

Provider Information

NPI Number: 1700901659
Entity Type: Individual
Name: Eliza Mellen-Smith, LIC. AC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LIC. AC.
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 16 BASSETT ST
City: Marblehead
State: Massachusetts
ZIP Code: 01945-3362
Phone: (508) 878-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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