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NPI Code Detail

MEDICARE: RHIANNON HERPOLSHEIMER

MEDICARE: RHIANNON HERPOLSHEIMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist14393CA

General Provider Information

NPI Number : 1417227307
Entity Type Code : Organization
Provider Name (Legal Business Name) : RHIANNON HERPOLSHEIMER
Provider Business Mailing Address
First Line : 1539 CHESTNUT ST
Second Line :
City : REDDING
State : CA
Zip : 96001-1639
Country : US
Telephone Number : 530-276-8406
Fax Number :
Provider Business Practice Location Address
First Line : 1539 CHESTNUT ST
Second Line :
City : REDDING
State : CA
Zip : 96001-1639
Country : US
Telephone Number : 530-276-8406
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RHIANNON HERPOLSHEIMER
Credential : LAC
Telephone Number : 530-276-8406
Provider Enumeration Date : 01/09/2012
Last Update Date : 05/14/2021

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Directions to “RHIANNON HERPOLSHEIMER ” Practice Location

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