Mary Hunter Ellegood, L. Ac.
Acupuncturist in Venice, CA. Individual provider (NPI-1).
NPI number1508071069
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508071069
- Entity type
- Individual (NPI-1)
- Name
- Mary Hunter Ellegood
- Credential
- L. Ac.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC7257 | CA | Yes |
Practice location
722 California AveVenice, CA 90291-3442
Phone 310-613-8375
Mailing address
722 California AveVenice, CA 90291-3442
Phone 310-613-8375
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