| Mistie Jo Pack, LAC | |
|
2116 E Orangeburg Ave Ste D, Modesto, CA 95355-3370 | |
| (209) 281-4441 | |
| Not Available |
| Full Name | Mistie Jo Pack |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 2116 E Orangeburg Ave Ste D, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871006114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 17000 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mistie Jo Pack, LAC 8363 Mcatee St, Valley Springs, CA 95252-9125 Ph: () - | Mistie Jo Pack, LAC 2116 E Orangeburg Ave Ste D, Modesto, CA 95355-3370 Ph: (209) 281-4441 |
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