| Prof Tisha Mallon, LAC, DIPLAC | |
|
21 Tamal Vista Blvd, Corte Madera, CA 94925-1130 | |
| (415) 378-3039 | |
| Not Available |
| Full Name | Prof Tisha Mallon |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 21 Tamal Vista Blvd, Corte Madera, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588082911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AC 4302 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prof Tisha Mallon, LAC, DIPLAC 56 Belle Ave, Fairfax, CA 94930-1727 Ph: (415) 378-3039 | Prof Tisha Mallon, LAC, DIPLAC 21 Tamal Vista Blvd, Corte Madera, CA 94925-1130 Ph: (415) 378-3039 |
Amanda Grace Hanson, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 154 Mariner Green Ct, Corte Madera, CA 94925 Phone: 415-688-0373 | |
Institute For Traditional Acupuncture And Herbology Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 21 Tamal Vista Blvd, Suite 110, Corte Madera, CA 94925 Phone: 415-924-2910 Fax: 415-924-5072 | |
Corinne Grant, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 45 San Clemente Dr Ste B220, Corte Madera, CA 94925 Phone: 415-377-5626 | |
Jyoti Elias, LAC NCCA DIPL AE Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 45 San Clemente Drive, Suite C-100, Corte Madera, CA 94925 Phone: 415-924-2481 | |
Rosemary Kim, L.AC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 101 Casa Buena Dr, Corte Madera, CA 94925 Phone: 415-886-4952 | |
Ms. Erica Ilana Trumbull, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 45 San Clemente Dr Ste D130, Corte Madera, CA 94925 Phone: 510-501-3813 Fax: 415-891-3991 |