Provider Demographics
NPI:1194396879
Name:ANNAPOLIS FAMILY ACUPUNCTURE
Entity Type:Organization
Organization Name:ANNAPOLIS FAMILY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST, HERBALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:HARBOUR
Authorized Official - Last Name:HUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:410-793-1701
Mailing Address - Street 1:1298 BAY DALE DR STE 211
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2815
Mailing Address - Country:US
Mailing Address - Phone:410-793-1701
Mailing Address - Fax:
Practice Address - Street 1:1298 BAY DALE DR STE 211
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2815
Practice Address - Country:US
Practice Address - Phone:410-793-1701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-05
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty