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Individual

CAROLINA FORNBORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LA.C.

Contact information

Practice address
4153 ALBATROSS DR, SAN DIEGO, CA 92103-1904
(858) 735-8426
Mailing address
4153 ALBATROSS DR, SAN DIEGO, CA 92103-1904
(858) 735-8426

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16482
CA

Other

Enumeration date
04/23/2015
Last updated
04/23/2015
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