Individual
EVAN M MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
432 S. MANHATTAN PL, #14, LOS ANGELES, CA 90020
(310) 401-4662
Mailing address
432 S. MANHATTAN PL, #14, LOS ANGELES, CA 90020
(310) 401-4662
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12871
CA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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