Organization
L ELYSSIA HERRICK ND LAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA ELYSSIA HERRICK N.D. L.AC. LLC (OWNER)
(541) 482-0409
Entity
Organization
Contact information
Practice address
586 GLENWOOD DR, ASHLAND, OR 97520-3228
(541) 482-0409
Mailing address
586 GLENWOOD DR, ASHLAND, OR 97520-3228
(541) 482-0409
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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