Individual
AICHA SEBAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4433 MAYBERRY ST, SAN DIEGO, CA 92113-3473
(858) 568-2293
Mailing address
4433 MAYBERRY ST, SAN DIEGO, CA 92113-3473
(858) 568-2293
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
CA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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