Individual
MS. MAILE FISCUS MCKAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL. O.M.
Contact information
Practice address
1960 SIDEWINDER DR, SUITE 206, PARK CITY, UT 84060-7329
(435) 602-9750
Mailing address
900 BITNER RD, L-33, PARK CITY, UT 84098-5404
(435) 602-9750
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5194233-1201
UT
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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