Individual
SANG LY MONTAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
15095 HIGHWAY 238, JACKSONVILLE, OR 97530-9612
(541) 231-6558
Mailing address
3833 HUMBUG CREEK RD, APPLEGATE, OR 97530-9620
(541) 231-6558
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 01047
OR
Other
Enumeration date
02/27/2007
Last updated
11/26/2012
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