| NPI | 1619306743 |
|---|---|
| Other Name | CARLA L SAN DIEGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 337) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000783) |
| 171100000X Acupuncturist (Licence: NJ 25MZ00102700) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2023-07-02 |