Erica Dawn Stark L.AC.

NPI 1215294244 - Acupuncturist - 171100000X

NPI Details
NPI 1215294244
Gender Female
Enumeration Date 04/16/2012
Last Updated 04/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5222 BALBOA AVE
SUITE 43
SAN DIEGO CA, 92117-6904, US
Phone (858) 568-2189
Fax
Business Location
5338 CAMINO PLAYA NORTE
SAN DIEGO CA, 92124-4114, US
Phone (858) 568-2189
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC 14659
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According to our database, Erica Dawn Stark L.AC. NPI is 1215294244, taxonomy code is 171100000X and license number is AC 14659, license state is located at California. Erica Dawn Stark L.AC. physically located at 5222 Balboa Ave, San Diego CA, 92117-6904. NPI Number Erica Dawn Stark L.AC. has the Individual type.

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1215294244 NPI number is provided on an as is basis without warranty of any kind. 1215294244 is maintained by the National Plan & Provider Enumeration System. The contents of Erica Dawn Stark L.AC. are for informational purposes only.