Organization
GARDEN OF WELLNESS ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA BEATRICE MONCRIEF MTOM (LICENSED ACUPUNCTURIST)
(760) 325-7776
Entity
Organization
Contact information
Practice address
1276 N PALM CANYON DR, SUITE 208, PALM SPRINGS, CA 92262-4411
(760) 325-7776
Mailing address
1276 N PALM CANYON DR, SUITE 208, PALM SPRINGS, CA 92262-4411
(760) 325-7776
(760) 325-7715
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC8945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861447336
NPI
—
01
—
AC8945
STATE LICENSE
CA
Enumeration date
11/05/2006
Last updated
06/13/2008
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