Individual
ALYSSA DAZET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 YALE ST STE 8, SANTA MONICA, CA 90403-4768
(310) 663-5831
Mailing address
1245 BROCKTON AVE APT 5, LOS ANGELES, CA 90025-1346
(310) 663-5831
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 14217
CA
Other
Enumeration date
08/21/2009
Last updated
01/19/2012
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