Individual
MS. CHARLA LORRAINE SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.AC.
Contact information
Practice address
1136 LOMA AVE, SUITE 201, CORONADO, CA 92118-2846
(619) 435-6770
(619) 435-0558
Mailing address
1136 LOMA AVE, SUITE 201, CORONADO, CA 92118-2846
(619) 435-6770
(619) 435-0558
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
10730
CA
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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