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Individual

CLEO AMELIA TETZLOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
73255 EL PASEO STE 8, PALM DESERT, CA 92260-4249
(312) 684-3504
Mailing address
PO BOX 43, PALM DESERT, CA 92261-0043
(312) 684-3504

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19063
CA

Other

Enumeration date
03/09/2021
Last updated
03/09/2021
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