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Organization
SPROUT WELLNESS ACUPUNCTURE, INC.
Active
Organization
SPROUT WELLNESS ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNICE PARK (LAC)
(213) 448-9658
Entity
Organization
Contact information
Practice address
1074 S PLYMOUTH BLVD, LOS ANGELES, CA 90019-6898
(213) 302-2477
Mailing address
1074 S PLYMOUTH BLVD, LOS ANGELES, CA 90019-6898
(213) 302-2477
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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