Individual
MRS. ELISA MARIE KRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
12264 EL CAMINO REAL, SUITE 108, SAN DIEGO, CA 92130-3060
(858) 481-0303
(858) 481-9797
Mailing address
12264 EL CAMINO REAL, SUITE 108, SAN DIEGO, CA 92130-3060
(858) 481-0303
(858) 481-9797
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
10637
CA
Other
Enumeration date
07/18/2006
Last updated
02/27/2017
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