# ELVIRA VASILCHENKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124632476
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | CA18586 | CA | Yes |
| 405300000X | Prevention Professional | 78334 | CA | — |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 09/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 18586 | — | CA |
| 01 | — | CA18586 | LICENSE | CA |