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Individual

MS. CANDACE D VEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MTOM, L.AC

Contact information

Practice address
11611 SAN VICENTE BLVD, SUITE 605, LOS ANGELES, CA 90049-5106
(310) 795-8500
(310) 826-9152
Mailing address
11611 SAN VICENTE BLVD., SUITE 605, LOS ANGELES, CA 90049
(310) 795-8500
(310) 826-9152

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
AC#8307
CA
171100000X
Acupuncturist
Primary
AC#8307
CA

Other

Enumeration date
04/19/2011
Last updated
04/19/2011
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