Individual
LAILA WAHDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DACCHM, MTCM, L.AC.
Contact information
Practice address
951 E PLAZA DR STE 120, EAGLE, ID 83616-6567
(408) 761-0006
Mailing address
5245 W PIAFFE ST, EAGLE, ID 83616-7481
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12924
CA
Other
Enumeration date
05/07/2009
Last updated
08/06/2025
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