Individual
MS. CONNIE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
9339 MAIN ST., PLYMOUTH, CA 95669
(209) 256-2138
Mailing address
PO BOX 1073, PLYMOUTH, CA 95669-1073
(209) 256-2138
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6969
CA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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