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Organization

VALLEY OF PEACE NATURAL HEALTH CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER A MOORE L.AC (LICENSED ACUPUNCTURIST)
(541) 910-2046
Entity
Organization

Contact information

Practice address
1617 4TH ST, LA GRANDE, OR 97850-2505
(541) 910-2046
(888) 264-5835
Mailing address
1610 Z AVE, PO BOX 1164, LA GRANDE, OR 97850-3745
(541) 910-2046
(888) 264-5835

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01183
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500607159
OR
Enumeration date
03/02/2016
Last updated
03/02/2016
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