Individual
DIANE SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
516 SEBASTOPOL AVE, SANTA ROSA, CA 95401-6337
(707) 523-3517
Mailing address
516 SEBASTOPOL AVE, SANTA ROSA, CA 95401-6337
(707) 523-3517
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5350
CA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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