| NPI | 1770813412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY MARIE DIVANTERRA Practitioner 619-887-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 8921) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA CA115) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2017-11-14 |