Individual
WEI LI VEDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
1007 39TH ST, SACRAMENTO, CA 95816-5502
(916) 620-3511
Mailing address
1007 39TH ST, SACRAMENTO, CA 95816-5502
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
AC 16210
CA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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