Individual
ASHLEY LYDIA WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1150 YALE ST STE 8, SANTA MONICA, CA 90403-4768
(310) 936-2387
Mailing address
10822 ROSE AVE APT 1, LOS ANGELES, CA 90034-5369
(310) 936-5260
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
15814
CA
171100000X
Acupuncturist
Primary
AC 15814
CA
Other
Enumeration date
07/10/2014
Last updated
01/11/2020
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