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Individual

ANNA BACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
823 W 9TH ST # 815, SAN PEDRO, CA 90731-3603
(310) 602-9518
Mailing address
2328 3RD ST APT 14, SANTA MONICA, CA 90405-3460
(310) 602-9518

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17369
CA

Other

Enumeration date
10/24/2016
Last updated
07/31/2025
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