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Individual

DENISE SHERI WIESNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L. AC

Contact information

Practice address
2001 S BARRINGTON AVE STE 220, LOS ANGELES, CA 90025-5385
(310) 473-7474
(310) 473-9767
Mailing address
2001 S BARRINGTON AVE STE 220, LOS ANGELES, CA 90025-5385
(310) 473-7474
(310) 473-9767

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 4831
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC4831
LICENSED ACUPUNCTURIST
CA
Enumeration date
07/03/2007
Last updated
07/08/2007
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