Individual
CHRISTIAN QUINN IWANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 WILLIAM ST, VACAVILLE, CA 95688-4530
(707) 447-8100
Mailing address
330 S 8TH ST, DIXON, CA 95620-3615
(707) 592-6826
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18722
CA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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