Individual
MRS. DESIREE FERRELL MANGANDOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3624 MISSION MONTANA DR, SAN DIEGO, CA 92120-1549
(619) 987-7375
Mailing address
3624 MISSION MONTANA DR, SAN DIEGO, CA 92120-1549
(619) 987-7375
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13227
CA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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