Individual
ALICIA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MTOM
Contact information
Practice address
5363 BALBOA BLVD STE 436, ENCINO, CA 91316-2840
(424) 653-6241
Mailing address
5363 BALBOA BLVD STE 436, ENCINO, CA 91316-2840
(424) 653-6241
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17143
CA
Other
Enumeration date
05/16/2016
Last updated
11/06/2016
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