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Individual

MISS DIANA CAROLYN MOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
500 SOQUEL AVE, SUITE A, SANTA CRUZ, CA 95062-2316
(831) 428-4329
Mailing address
518 S BRANCIFORTE AVE, SANTA CRUZ, CA 95062-3327
(831) 428-4329

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
6649
CA

Other

Enumeration date
04/14/2017
Last updated
04/14/2017
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