Individual
MRS. JESSICA RENEE O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC., LMP, AWC
Contact information
Practice address
113 5TH AVE SE, OLYMPIA, WA 98501-1121
(360) 357-9470
Mailing address
11014 CHARM RD SE, RAINIER, WA 98576-9703
(617) 797-4652
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60103301
WA
Other
Enumeration date
02/27/2010
Last updated
02/27/2010
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