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Individual

J MIRANDA BROCKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
11669 SANTA MONICA BLVD, SUITE 206, LOS ANGELES, CA 90025-2992
(310) 312-9996
Mailing address
11669 SANTA MONICA BLVD, SUITE 206, LOS ANGELES, CA 90025-2992
(310) 312-9996

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 6426
CA

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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