Provider Demographics
NPI:1881086262
Name:SAENZ, ANTHONY FELAN (LAC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:FELAN
Last Name:SAENZ
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:330 SAINT JOHN ST
Mailing Address - Street 2:FL 1
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2817
Mailing Address - Country:US
Mailing Address - Phone:443-739-4158
Mailing Address - Fax:410-939-0219
Practice Address - Street 1:330 SAINT JOHN ST
Practice Address - Street 2:FL 1
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2817
Practice Address - Country:US
Practice Address - Phone:443-739-4158
Practice Address - Fax:410-939-0219
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02181171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist