Organization
INNER GATE WELLNESS
Active
Other names
Inner Gate Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RYAN LAC (OWNER)
(424) 280-6730
Entity
Organization
Contact information
Practice address
12061A JEFFERSON BLVD APT C, CULVER CITY, CA 90230-6219
(424) 280-6730
Mailing address
12061A JEFFERSON BLVD APT C, CULVER CITY, CA 90230-6219
(424) 280-6730
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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