Individual
MISS CHENXIN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
172 KELLER ST, PETALUMA, CA 94952-2900
(707) 762-9111
Mailing address
172 KELLER ST, PETALUMA, CA 94952-2900
(707) 762-9111
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 10674
CA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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