Individual
ERICA DAWN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5222 BALBOA AVE, SUITE 43, SAN DIEGO, CA 92117-6904
(858) 568-2189
Mailing address
5338 CAMINO PLAYA NORTE, SAN DIEGO, CA 92124-4114
(858) 568-2189
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 14659
CA
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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