Individual
EINAV AVITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 41ST AVE, CAPITOLA, CA 95010-3900
(831) 477-7601
(831) 477-7601
Mailing address
1200 41ST AVE, CAPITOLA, CA 95010-3900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
9852
CA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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