Individual
MS. GRETA MAYA GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC./HHP
Contact information
Practice address
187 CALLE MAGDALENA STE 214, ENCINITAS, CA 92024-3712
(760) 815-6265
Mailing address
699 N VULCAN AVE SPC 71A, ENCINITAS, CA 92024-2131
(760) 815-6265
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11921
CA
Other
Enumeration date
01/28/2008
Last updated
05/29/2021
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