Individual
MS. STEPHANIE LYNN MALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1810 SUMMIT ST, KANSAS CITY, MO 64108-2109
(913) 221-8410
Mailing address
1810 SUMMIT ST, KANSAS CITY, MO 64108-2109
(913) 221-8410
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2009013025
MO
Other
Enumeration date
08/18/2009
Last updated
11/02/2011
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