Organization
SAGE TRADITIONS ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRUCE STEWART L.AC. (CHIEF EXECUTIVE OFFICER)
(619) 392-0937
Entity
Organization
Contact information
Practice address
201 PALM AVE STE 2, IMPERIAL BEACH, CA 91932-1018
(619) 392-0937
(619) 565-2288
Mailing address
792 7TH ST, IMPERIAL BEACH, CA 91932-2106
(619) 392-0937
(619) 565-2288
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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