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Waterfront Wellness Center INC.

Acupuncturist in Wilmington, CA. Organization (NPI-2).

NPI number1831552835
StatusActive
Last updated in NPPESMar 29, 2016

Details

NPI
1831552835
Entity type
Organization (NPI-2)
Legal business name
Waterfront Wellness Center INC.
Organization subpart
No
Enumeration date
Mar 29, 2016
Last updated
Mar 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist12167CAYes

Practice location

531 N Avalon Blvd
Wilmington, CA 90744-5805

Phone 310-955-6746

Mailing address

531 N Avalon Blvd
Wilmington, CA 90744-5805

Phone 310-955-6746

Authorized official

Sara Marie Victoria
President
3109556746

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