Individual
COLETTE WIDRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
714 1/2 N EDINBURGH AVE, LOS ANGELES, CA 90046-7004
(310) 492-5014
Mailing address
714 1/2 N EDINBURGH AVE, LOS ANGELES, CA 90046-7004
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14106
CA
Other
Enumeration date
03/13/2009
Last updated
01/25/2015
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