Individual
INNA LOKTENKO-BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1601 CARMEN DR STE 216, CAMARILLO, CA 93010-3167
(805) 947-3177
Mailing address
626 CHARLESTON PL, VENTURA, CA 93004-3784
(805) 672-0349
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17827
CA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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