Individual
DR. DAWN UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MTOM, LAC
Contact information
Practice address
1631 SHELL AVE, VENICE, CA 90291-3856
(310) 720-1152
Mailing address
1631 SHELL AVE, VENICE, CA 90291-3856
(310) 720-1152
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 14527
CA
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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