# GINA RENEE PALADY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gina Renee Palady LAC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174155766
- **Authorized official:** GINA RENEE PALADY L.AC. (SOLE PROPRIETOR)
- **Authorized official phone:** (530) 206-3424

## Contact information

- **Practice address:** 407 S MOUNT SHASTA BLVD, MOUNT SHASTA, CA 96067-2559
- **Practice address phone:** (530) 206-3424
- **Practice address fax:** (831) 886-5750
- **Mailing address:** 404 N MOUNT SHASTA BLVD \# 350, MOUNT SHASTA, CA 96067-2232
- **Mailing address phone:** (530) 206-3424
- **Mailing address fax:** (831) 886-5750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 02/11/2020