Individual
HEATHER FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4443 30TH ST STE 210, SAN DIEGO, CA 92116-4295
(858) 880-8578
Mailing address
4443 30TH ST STE 210, SAN DIEGO, CA 92116-4295
(858) 880-8578
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16955
CA
Other
Enumeration date
08/29/2016
Last updated
07/01/2019
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