Individual
DANIEL J DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4170 GROSS ROAD EXT, SUITE 6, CAPITOLA, CA 95010-2054
(831) 464-1605
Mailing address
4170 GROSS ROAD EXT, SUITE 6, CAPITOLA, CA 95010-2054
(831) 464-1605
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14080
CA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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