Individual
CARLY IWASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
336 S EUCLID AVE, PASADENA, CA 91101-3125
(208) 739-3079
Mailing address
3980 WILSHIRE BLVD APT 401, LOS ANGELES, CA 90010-4217
(208) 739-3079
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
20211
CA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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