Individual
DERBY HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
10401 VENICE BLVD STE 106, SUITE 388, LOS ANGELES, CA 90034-7097
(310) 896-8809
Mailing address
10401 VENICE BLVD STE 106, SUITE 388, LOS ANGELES, CA 90034-7097
(310) 896-8809
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16705
CA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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