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Individual
MISS MEGAN WILLDORF
Active
Individual
MISS MEGAN WILLDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.C
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC7722
ACUPUNTURE LICENSE
CA
Enumeration date
02/12/2010
Last updated
06/13/2018
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