PROF. Tisha Mallon, L.AC., DIPL.AC.
NPI #1588082911 in Corte Madera, California
Provider Information
- NPI Number
- 1588082911
- Entity Type
- Individual
- Name
- PROF. Tisha Mallon, L.AC., DIPL.AC.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Acupuncturist
- Credential
- L.AC., DIPL.AC.
- Enumeration Date
- Apr 2, 2014
- Last Updated
- Dec 18, 2019
Practice Location
- Address
- 21 TAMAL VISTA BLVD
- City
- Corte Madera
- State
- California
- ZIP Code
- 94925-1130
- Phone
- (415) 378-3039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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