Ilene L Cristdahl MD LAC

NPI 1194943183 - Acupuncturist - 171100000X

NPI Details
NPI 1194943183
Gender Female
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
503 SOUTH AUBURN STREET
GRASS VALLEY CA, 95945, US
Phone (530) 274-8854
Fax (530) 274-8854
Business Location
503 SOUTH AUBURN STREET
GRASS VALLEY CA, 95945, US
Phone (530) 274-8854
Fax (530) 274-8854
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC2301
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According to our database, Ilene L Cristdahl MD LAC NPI is 1194943183, taxonomy code is 171100000X and license number is AC2301, license state is located at California. Ilene L Cristdahl MD LAC physically located at 503 South Auburn Street, Grass Valley CA, 95945. NPI Number Ilene L Cristdahl MD LAC has the Individual type.

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1194943183 NPI number is provided on an as is basis without warranty of any kind. 1194943183 is maintained by the National Plan & Provider Enumeration System. The contents of Ilene L Cristdahl MD LAC are for informational purposes only.