Individual
DAVID MISHOULAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4062 HARNEY ST, SUITE A, SAN DIEGO, CA 92110-2828
(619) 342-8018
(619) 342-7255
Mailing address
1432 GRANADA AVE, SAN DIEGO, CA 92102-1727
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17173
CA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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