Individual
MISS ALEXANDRA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3990 OLD TOWN AVE, STE B107, SAN DIEGO, CA 92110-2930
(713) 870-7157
Mailing address
4082 VALETA ST UNIT 376, SAN DIEGO, CA 92110-5867
(713) 870-7157
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17245
CA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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