Collette Mary Cassidy, L.AC.

NPI #1174747695 in Capitola, California

Provider Information

NPI Number: 1174747695
Entity Type: Individual
Name: Collette Mary Cassidy, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Apr 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 41ST AVE
Address 2: SUITE G
City: Capitola
State: California
ZIP Code: 95010-3900
Phone: (831) 477-7601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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