Organization
MOON AND LOTUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMALA QUALE (OWNER)
(541) 345-2220
Entity
Organization
Contact information
Practice address
1844 LINCOLN ST APT 1, EUGENE, OR 97401-4598
(541) 345-2220
(541) 344-5531
Mailing address
1844 LINCOLN ST APT 1, EUGENE, OR 97401-4598
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00399
OR
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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