Individual
ILENE L CRISTDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD LAC
Contact information
Practice address
101 PROVIDENCE MINE RD, SUITE 104, NEVADA CITY, CA 95959-2939
(530) 470-8707
(530) 852-4996
Mailing address
101 PROVIDENCE MINE RD, SUITE 104, NEVADA CITY, CA 95959-2939
(530) 470-8707
(530) 852-4996
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC2301
CA
175F00000X
Naturopath
Primary
ND143
CA
Other
Enumeration date
04/23/2007
Last updated
07/19/2016
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