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Organization
JULIE PETYAK-RYAN, M.S., L.AC., INC
Active
Organization
JULIE PETYAK-RYAN, M.S., L.AC., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE PETYAK-RYAN L.AC. (OWNER)
(805) 738-7210
Entity
Organization
Contact information
Practice address
4000 CALLE TECATE STE 211, CAMARILLO, CA 93012-5287
(805) 738-7210
(805) 738-7210
Mailing address
4000 CALLE TECATE STE 211, CAMARILLO, CA 93012-5287
(055) 736-4468
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841321866
INDIVIDUAL NPI
—
Enumeration date
12/26/2017
Last updated
02/21/2019
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