MS. Michelle M Destefano, L.AC.

NPI #1841332418 in Shepherdstown, West Virginia

Provider Information

NPI Number: 1841332418
Entity Type: Individual
Name: MS. Michelle M Destefano, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 600 S CHURCH ST
City: Shepherdstown
State: West Virginia
ZIP Code: 25443-4717
Phone: (304) 261-8077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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