DR. Patricia Carol Thiessen, OMD, LAC

NPI #1093253908 in Mount Shasta, California

Provider Information

NPI Number: 1093253908
Entity Type: Individual
Name: DR. Patricia Carol Thiessen, OMD, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: OMD, LAC
Enumeration Date: Feb 10, 2017
Last Updated: Feb 10, 2017

Practice Location

Address: 407 S MOUNT SHASTA BLVD
Address 2: SUITE 4
City: Mount Shasta
State: California
ZIP Code: 96067-2559
Phone: (530) 938-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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