Individual
MS. INGER MARTA EDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
317 N EL CAMINO REAL STE 401, ENCINITAS, CA 92024-2815
(760) 635-0581
Mailing address
71 VIA ALMERIA, SAN CLEMENTE, CA 92673-6515
(949) 228-1381
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7012
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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