Individual
DOREEN WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
6274 LAKE LOMOND DR, SAN DIEGO, CA 92119-3030
(619) 488-7990
Mailing address
6274 LAKE LOMOND DR, SAN DIEGO, CA 92119-3030
(619) 488-7990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18129
CA
225700000X
Massage Therapist
39584
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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