Organization
INNER BALANCE MEDICINE, ACUPUNCTURE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SCHWARTZ L.AC. (OWNER)
(209) 570-0486
Entity
Organization
Contact information
Practice address
1121 W VINE ST STE 15, LODI, CA 95240-5137
(209) 369-5008
(209) 713-4680
Mailing address
801 S HAM LN STE B, LODI, CA 95242-7502
(209) 369-5008
(209) 713-4680
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4263823
ARTICLES OF INCORPORATION
CA
Enumeration date
12/11/2019
Last updated
12/11/2019
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