Individual
MRS. DANAE ELIZABETH KOOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4732 POINT LOMA AVE, STE. D, SAN DIEGO, CA 92107-3866
(619) 222-5559
(619) 955-5975
Mailing address
4732 POINT LOMA AVE, STE. D, SAN DIEGO, CA 92107-3866
(619) 222-5559
(619) 955-5975
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 9682
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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