Individual
AMY CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1050 WILBUR AVE, SAN DIEGO, CA 92109-2028
(714) 249-3713
Mailing address
1050 WILBUR AVE, SAN DIEGO, CA 92109-2028
(714) 249-3713
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC18697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1813540
DMV
CA
05
—
D1813540
—
CA
Enumeration date
01/29/2020
Last updated
01/29/2020
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