Organization
THE GLOW STUDIO ACUPUNCTURE, PROFESSIONAL CORPORATION
Active
Other names
The Glow Studio
Organization subpart
No
Provider details
NPI number
Authorized official
LORRIE B FISSENDEN L.AC., MSTCM (CEO)
(816) 739-2457
Entity
Organization
Contact information
Practice address
1615 HILL RD STE G, NOVATO, CA 94947-4338
(415) 761-1440
Mailing address
624 CANYON RD, NOVATO, CA 94947-4305
(816) 739-2457
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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