Individual
MIRA CHOI TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1840 MACKENZIE DR STE 101, UPPER ARLINGTON, OH 43220-2980
(614) 500-3088
(614) 305-6040
Mailing address
1840 MACKENZIE DR STE 101, UPPER ARLINGTON, OH 43220-2980
(614) 500-3088
(614) 305-6040
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000303
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253510
—
OH
Enumeration date
05/31/2015
Last updated
12/31/2019
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