Individual
MS. CHALITA PHOTIKOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
147 LOMITA DR, B, MILL VALLEY, CA 94941-1451
(415) 225-5285
Mailing address
147 LOMITA DR, B, MILL VALLEY, CA 94941-1451
(415) 225-5285
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
10104
CA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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