Individual
ELAINE KATHRYN BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., C.M.T.
Contact information
Practice address
129 N HALCYON RD STE H, ARROYO GRANDE, CA 93420-2587
(805) 722-5847
Mailing address
PO BOX 888, GROVER BEACH, CA 93483-0888
(805) 722-5847
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12292
CA
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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