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Organization
GREEN OASIS ACUPUNCTURE, INC
Active
Organization
GREEN OASIS ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL R. LYTLE L.AC (PRESIDENT/ACUPUNCTURIST)
(310) 857-8776
Entity
Organization
Contact information
Practice address
1454 CLOVERFIELD BLVD, SUITE 240, SANTA MONICA, CA 90404-2980
(310) 857-8776
(310) 315-2135
Mailing address
1454 CLOVERFIELD BLVD, SUITE 240, SANTA MONICA, CA 90404-2980
(310) 857-8776
(310) 315-2135
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11652
CA
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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