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Individual

ANTHONY DISALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
17203 VENTURA BLVD STE 2, ENCINO, CA 91316-4054
(818) 650-8555
Mailing address
17203 VENTURA BLVD STE 2, ENCINO, CA 91316-4054
(818) 650-8555

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18694
CA

Other

Enumeration date
10/17/2019
Last updated
10/17/2019
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