Bok Nam De Gregorio, LIC. AC, MOM

NPI #1912314592 in Portsmouth, Rhode Island

Provider Information

NPI Number: 1912314592
Entity Type: Individual
Name: Bok Nam De Gregorio, LIC. AC, MOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LIC. AC, MOM
Enumeration Date: Jul 16, 2014
Last Updated: Mar 22, 2022

Practice Location

Address: 55 MARE TERRACE
City: Portsmouth
State: Rhode Island
ZIP Code: 02871-0287
Phone: (703) 798-3874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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