Individual
MS. BIANCA CYR WAXLAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
9404 GENESEE AVE., SUITE 310, LA JOLLA, CA 92037
(619) 384-9208
Mailing address
4451 FLORIDA ST, SAN DIEGO, CA 92116-4003
(619) 384-9208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12474
CA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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