| The Glow Studio Acupuncture, Professional Corporation | |
|
1615 Hill Rd Ste G Novato CA 94947-4338 | |
| (415) 761-1440 | |
| Not Available |
| Full Name | The Glow Studio Acupuncture, Professional Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 1615 Hill Rd Ste G, Novato, California |
| Authorized Official Name and Position | Lorrie B Fissenden (CEO) |
| Authorized Official Contact | 8167392457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Glow Studio Acupuncture, Professional Corporation 624 Canyon Rd Novato CA 94947-4305 Ph: (816) 739-2457 | The Glow Studio Acupuncture, Professional Corporation 1615 Hill Rd Ste G Novato CA 94947-4338 Ph: (415) 761-1440 |
| NPI Number | 1730947243 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730947243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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