Misha Dawn Mooney, L.AC, DIPL. O.M

NPI #1164818480 in Boise, Idaho

Provider Information

NPI Number: 1164818480
Entity Type: Individual
Name: Misha Dawn Mooney, L.AC, DIPL. O.M
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC, DIPL. O.M
Enumeration Date: Apr 13, 2015
Last Updated: Apr 13, 2015

Practice Location

Address: 203 W FORT ST
City: Boise
State: Idaho
ZIP Code: 83702-4528
Phone: (224) 388-0810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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