Individual
HEATHER RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3666 MIDWAY DR, SAN DIEGO, CA 92110-5201
(702) 592-4019
Mailing address
5075 W POINT LOMA BLVD, SAN DIEGO, CA 92107-1312
(702) 592-4019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 17074
CA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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