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Organization
NIKI RARIG ND LAC INC
Active
Organization
NIKI RARIG ND LAC INC
Active
Other names
East West Natural Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKI BROOK RARIG ND, LAC (OWNER)
(805) 543-8958
Entity
Organization
Contact information
Practice address
1415 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2915
(805) 543-8958
(905) 543-4403
Mailing address
1415 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2915
(805) 543-8958
(805) 543-4403
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386014306
NPI
—
Enumeration date
01/07/2018
Last updated
01/07/2018
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