Individual
DEBORA DE OLIVEIRA DUTRA VIDAL BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3220 S WESTERN AVE STE 1, SIOUX FALLS, SD 57105-5347
(626) 344-5335
Mailing address
3220 S WESTERN AVE STE 1, SIOUX FALLS, SD 57105-5347
(626) 344-5335
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
20094
CA
Other
Enumeration date
07/26/2024
Last updated
07/29/2024
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