Individual
KELLYANNA M DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
112 OHIO ST, SUITE # 107, BELLINGHAM, WA 98225-4543
(360) 733-2858
Mailing address
PO BOX 1455, BELLINGHAM, WA 98227-1455
(360) 733-2858
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000791
WA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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