Individual
MS. GLENDA MAE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
162083
OR
Other
Enumeration date
02/09/2013
Last updated
02/09/2013
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