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Organization
STELLAR HEALING LP
Active
Organization
STELLAR HEALING LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRANDA GENSLER DAOM (OWNER)
(503) 740-4772
Entity
Organization
Contact information
Practice address
2840 PARK AVE, SOQUEL, CA 95073-2866
(503) 740-4772
Mailing address
105 MOTT AVE, SANTA CRUZ, CA 95062-3729
(503) 740-4772
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14879
CA
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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