MS. Chalita Photikoe, LAC

NPI #1194094243 in Mill Valley, California

Provider Information

NPI Number: 1194094243
Entity Type: Individual
Name: MS. Chalita Photikoe, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Dec 19, 2011
Last Updated: Dec 19, 2011

Practice Location

Address: 147 LOMITA DR
Address 2: B
City: Mill Valley
State: California
ZIP Code: 94941-1451
Phone: (415) 225-5285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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