Individual
MS. CHANTELLE YVETTE DESHAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2356 MOORE ST, SUITE 105, SAN DIEGO, CA 92110-3017
(619) 325-0771
(619) 325-0395
Mailing address
2356 MOORE ST, SUITE 105, SAN DIEGO, CA 92110-3017
(619) 325-0771
(619) 325-0395
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 5256
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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