Individual
DOMENICK BARBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
269 CYPRESS ST, PISMO BEACH, CA 93449-2602
(808) 295-7752
Mailing address
850 S ROSEMEAD BLVD APT 17, PASADENA, CA 91107-5677
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19336
CA
225700000X
Massage Therapist
73794
CA
Other
Enumeration date
05/24/2019
Last updated
01/04/2022
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