Individual
MS. ARYANI BOEDISANTOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13315 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5169
(310) 577-3006
Mailing address
8459 S 11TH AVE APT C, INGLEWOOD, CA 90305-3943
(323) 206-2249
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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