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Organization
1ST DEFENSE INC
Active
Organization
1ST DEFENSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN DEWOLFE L.AC (OWNER)
(818) 957-7035
Entity
Organization
Contact information
Practice address
3935 FOOTHILL BLVD, LA CRESCENTA, CA 91214-1621
(818) 957-7035
(818) 455-7017
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC10271
AC LICENSE
CA
Enumeration date
08/27/2008
Last updated
08/27/2008
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