Provider Demographics
NPI:1033530803
Name:SNOWDEN, ALLISON MICHELLE (LAC, LMT)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:MICHELLE
Last Name:SNOWDEN
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Gender:F
Credentials:LAC, LMT
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Mailing Address - Street 1:2555 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE #102
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108
Mailing Address - Country:US
Mailing Address - Phone:619-208-8998
Mailing Address - Fax:619-996-2000
Practice Address - Street 1:2555 CAMINO DEL RIO S
Practice Address - Street 2:SUITE #102
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:619-208-8998
Practice Address - Fax:619-996-2000
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-22
Last Update Date:2015-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2013039315171100000X
CA15818171100000X
CA4541225700000X
MO2013036415225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist