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Individual

ALISON RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.A.C M.S.O.M.

Contact information

Practice address
432 MAPLE LN, GARBERVILLE, CA 95542-3406
(707) 923-4222
Mailing address
432 MAPLE LN, GARBERVILLE, CA 95542-3406
(707) 923-4222

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13897
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13897
CA LICENSING BOARD
CA
Enumeration date
02/20/2015
Last updated
02/20/2015
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