Individual
MR. BRENT DAUPHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
126 ANCHORAGE AVE, APT B, SANTA CRUZ, CA 95062-5417
(415) 577-0977
Mailing address
126 ANCHORAGE AVE, APT B, SANTA CRUZ, CA 95062-5417
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12647
CA
Other
Enumeration date
09/21/2008
Last updated
09/21/2008
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