Individual
DANA DEPROPHETIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7328 VALLEY VISTA AVE, YUCCA VALLEY, CA 92284-3836
(760) 985-4100
Mailing address
PO BOX 254, YUCCA VALLEY, CA 92286-0254
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
9919
CA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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