Individual
MALLORY ANN OLNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MACOM
Contact information
Practice address
16146 BLACKFEATHER LN, LA PINE, OR 97739-9799
(775) 720-9617
Mailing address
16146 BLACKFEATHER LN, LA PINE, OR 97739-9799
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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