Individual
DIANE MARY BOUSQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
470 NAUTILUS ST, #201, LA JOLLA, CA 92037-5969
(858) 551-1005
(858) 551-1065
Mailing address
5875 FRIARS RD, #4314, SAN DIEGO, CA 92110-6012
(619) 808-1099
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10132
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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