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Organization
SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE
Active
Organization
SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY MARIE DIVANTERRA (PRACTITIONER)
(619) 887-0610
Entity
Organization
Contact information
Practice address
3636 4TH AVE STE 210, SAN DIEGO, CA 92103-4237
(619) 501-5654
(619) 785-3387
Mailing address
3636 4TH AVE STE 210, SAN DIEGO, CA 92103-4237
(619) 887-0610
(619) 785-3387
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
8921
CA
175F00000X
Naturopath
CA115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073666186
NPI
CA
01
—
1750695128
NPI
CA
Enumeration date
12/31/2009
Last updated
11/14/2017
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