DALE EDWARD FANNING

BERKELEY, CA
NPI1588076525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: CA  AC 15988)
Enumeration Date2014-05-26
Last Update Date2014-05-26
Business Address
DALE EDWARD FANNING LAC
1700 SHATTUCK AVE
BERKELEY, CA 94709-3402
Phone number: 510-847-9706
Mailing Address
DALE EDWARD FANNING LAC
1436 BLAKE ST
BERKELEY, CA 94702-2104
Phone number: 206-979-4510
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