Individual
DEIDRE ANNE O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN LAC.
Contact information
Practice address
21128 CALISTOGA ST., SUITE A, MIDDLETOWN, CA 95461
(707) 987-3442
Mailing address
PO BOX 687, MIDDLETOWN, CA 95461-0687
(707) 987-3442
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12238
CA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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