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Individual

BRENT WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC

Contact information

Practice address
7710 BALBOA AVE STE 330, SAN DIEGO, CA 92111-2264
(619) 920-6549
Mailing address
7710 BALBOA AVE STE 330, SAN DIEGO, CA 92111-2264
(619) 920-6549

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11812
CA

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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