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Organization

BODYWISE ACUPUNCTURE & TOTAL WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GEORGIA GOOD L.AC., DIPL. OM (PRESIDENT)
(619) 210-5153
Entity
Organization

Contact information

Practice address
885 CANARIOS CT, STE. 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
(619) 656-5143
Mailing address
885 CANARIOS CT, STE. 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
(619) 656-5143

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AC15584
CA

Other

Enumeration date
10/23/2013
Last updated
11/01/2013
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