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Organization
HEALING TREE CLINIC
Active
Organization
HEALING TREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE LEE L.AC. (CO-OWNER)
(949) 559-3675
Entity
Organization
Contact information
Practice address
14785 JEFFREY RD, SUITE 109, IRVINE, CA 92618-0408
(949) 559-3675
(949) 559-3631
Mailing address
14785 JEFFREY RD, SUITE 109, IRVINE, CA 92618-0408
(949) 559-3675
(949) 559-3631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC31295
CA
171100000X
Acupuncturist
Primary
AC9915
CA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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