Provider Demographics
NPI:1326107442
Name:ARNOLD, MICHELE MARY (LAC,)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:MARY
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15644 POMERADO RD STE 102
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2419
Mailing Address - Country:US
Mailing Address - Phone:858-613-0792
Mailing Address - Fax:858-613-0794
Practice Address - Street 1:15644 POMERADO RD STE 102
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064
Practice Address - Country:US
Practice Address - Phone:858-613-0792
Practice Address - Fax:858-613-0794
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6958171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist