Individual
ANCA MARISSA SIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC, FABORM
Contact information
Practice address
432 N MOUNT SHASTA BLVD STE A, MOUNT SHASTA, CA 96067-2910
(628) 888-4881
(530) 686-7952
Mailing address
PO BOX 959, MOUNT SHASTA, CA 96067-0959
(628) 888-4881
(530) 686-7952
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6952
CA
Other
Enumeration date
05/04/2009
Last updated
02/11/2019
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