Individual
MS. SITA SYMONETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3880 SE HARRISON ST, MILWAUKIE, OR 97222-5854
(503) 513-4665
Mailing address
927 N WATTS ST, PORTLAND, OR 97217-1135
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150411
OR
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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