Organization
INNOVA WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANIELLE REDFERN L.AC (OWNER)
(661) 312-0788
Entity
Organization
Contact information
Practice address
837 N GLENDALE AVE, GLENDALE, CA 91206-2128
(661) 312-0788
Mailing address
837 N GLENDALE AVE, GLENDALE, CA 91206-2128
(661) 312-0788
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15970
CA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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