Provider Demographics
NPI:1982266052
Name:GEORGE, ANJULI MARIE (L AC)
Entity type:Individual
Prefix:
First Name:ANJULI
Middle Name:MARIE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12812 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3715
Mailing Address - Country:US
Mailing Address - Phone:240-506-3923
Mailing Address - Fax:
Practice Address - Street 1:12812 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3715
Practice Address - Country:US
Practice Address - Phone:240-506-3923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02641171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist