Most Relevant Information
Provider Data
| NPI Number: | 1003531385 |
| Provider Name: | AMBER GOLD L.AC., DIPL. O.M. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 0121001066 |
Most Important Dates
| Enumeration Date: | 10/10/2022 |
| Last Updated: | 10/10/2022 |
Provider Practice Location
42759 SUMMERHOUSE PL
BROADLANDS
VA
201485511
Practice Location Phone/Fax
| Phone: | 5407609425 |
| Fax: |
Provider Mailing Location
42759 SUMMERHOUSE PL
BROADLANDS
VA
201485511
Provider Mailing Phone/Fax
| Phone: | 5407609425 |
| Fax: |