Owen Bryn Marron L.AC

NPI 1093762163 - Acupuncturist - 171100000X

NPI Details
NPI 1093762163
Gender Male
Enumeration Date 05/27/2006
Last Updated 12/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
151 N SUNRISE AVE
SUITE #1009
ROSEVILLE CA, 95661-2930, US
Phone (916) 742-4001
Fax (916) 474-5322
Business Location
151 N SUNRISE AVE
SUITE #1009
ROSEVILLE CA, 95661-2924, US
Phone (916) 742-4001
Fax (916) 474-5322
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC 14630
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According to our database, Owen Bryn Marron L.AC NPI is 1093762163, taxonomy code is 171100000X and license number is AC 14630, license state is located at California. Owen Bryn Marron L.AC physically located at 151 N Sunrise Ave, Roseville CA, 95661-2930. NPI Number Owen Bryn Marron L.AC has the Individual type.

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1093762163 NPI number is provided on an as is basis without warranty of any kind. 1093762163 is maintained by the National Plan & Provider Enumeration System. The contents of Owen Bryn Marron L.AC are for informational purposes only.