# AQU WELLNESS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952861122
- **Authorized official:** SAMANTHA LEIGH MANKA-SEGAL L.AC (ACUPUNCTURIST/OWNER)
- **Authorized official phone:** (424) 258-4292

## Contact information

- **Practice address:** 910 VIA DE LA PAZ STE 201, PACIFIC PALISADES, CA 90272-3581
- **Practice address phone:** (424) 258-4292
- **Mailing address:** 910 VIA DE LA PAZ STE 201, PACIFIC PALISADES, CA 90272-3581
- **Mailing address phone:** (424) 258-4292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 03/22/2019
