Most Relevant Information
Provider Data
NPI Number: | 1003323494 |
Provider Name: | LOREN AVRY STITELER |
Entity Type: | Individual |
Taxonomy Code: | 171100000X |
Specialty: | Acupuncturist |
License Number: |
Most Important Dates
Enumeration Date: | 01/07/2018 |
Last Updated: | 01/07/2018 |
Provider Practice Location
22916 PORTAGE CIRCLE DR
TOPANGA
CA
902904029
Practice Location Phone/Fax
Phone: | 8183710123 |
Fax: |
Provider Mailing Location
22916 PORTAGE CIRCLE DR
TOPANGA
CA
902904029
Provider Mailing Phone/Fax
Phone: | |
Fax: |