Individual
MS. EVONNE KANENGIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
28 MONARCH BAY PLZ STE A, DANA POINT, CA 92629-3454
(949) 661-1236
Mailing address
1428 GLENNEYRE ST # 105, LAGUNA BEACH, CA 92651-3132
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
CT2738
CA
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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