NPI 1548892763

Gina Renee Palady, LAC

Practitioner Acupuncturist Mount Shasta, CA

Practice location

Address: 407 S Mount Shasta Blvd, Mount Shasta, CA 96067-2559
Phone: (530) 206-3424
Mailing address: 404 N Mount Shasta Blvd # 350, Mount Shasta, CA 96067-2232

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC7394 (CA)

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Registry record

NPI: 1548892763
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2020
Record last updated: 5 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.