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Individual

DEIDRE KATHARINE BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
47875 CALEO BAY DR, A104, LA QUINTA, CA 92253-6386
(760) 771-2332
(760) 771-2316
Mailing address
47875 CALEO BAY DR, A104, LA QUINTA, CA 92253-6386
(760) 771-2332
(760) 771-2316

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5378
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330924223
TAX ID
CA
Enumeration date
05/21/2007
Last updated
09/14/2016
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