Individual
ARIANA POULAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
4968 BOOTH CIR, SUITE 101, IRVINE, CA 92604-3360
(949) 753-7475
Mailing address
1765 SANTA ANA AVE, APT V102, COSTA MESA, CA 92627-3187
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
825
CA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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