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Organization
SHANTI ACUPUNCTURE
Active
Organization
SHANTI ACUPUNCTURE
Active
Other names
MiraMar Acupuncture Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTI DEVI WU MSTOM, L.AC. (ACUPUNCTURIST)
(858) 461-8538
Entity
Organization
Contact information
Practice address
7964 ARJONS DR, SUITE D, SAN DIEGO, CA 92126-4392
(858) 461-8538
(858) 530-0365
Mailing address
7964 ARJONS DR, SUITE D, SAN DIEGO, CA 92126-4392
(858) 461-8538
(858) 530-0365
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588090054
INDIVIDUAL NPI
CA
Enumeration date
04/19/2016
Last updated
04/19/2016
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