Individual
MISS ALIA KRISTEN MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4586 LISANN ST, SAN DIEGO, CA 92117-2439
(619) 573-0912
Mailing address
4586 LISANN ST, SAN DIEGO, CA 92117
(619) 573-0912
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12731
CA
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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