Individual
ALEXANDRA BABAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 DEL NORTE ST, SOUTH LAKE TAHOE, CA 96150-7220
(510) 409-6802
Mailing address
2321 DEL NORTE ST, SOUTH LAKE TAHOE, CA 96150-7220
(510) 409-6802
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC19184
CA
202D00000X
Integrative Medicine Physician
AC19184
CA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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