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NPI Code Detail

MEDICARE: DR. ALLISON JEAN MUMA DSOM LAC

MEDICARE: DR. ALLISON JEAN MUMA DSOM LAC
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
1171100000XAcupuncturist61489509WA

General Provider Information

NPI Number : 1497529960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON JEAN MUMA DSOM LAC
Provider Business Mailing Address
First Line : 1334 LAWRENCE ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-6529
Country : US
Telephone Number : 360-379-6798
Fax Number :
Provider Business Practice Location Address
First Line : 1334 LAWRENCE ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-6529
Country : US
Telephone Number : 360-379-6798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2023
Last Update Date : 11/14/2023

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