Rise of the Phoenix Whole Health Center

NPI #1831718022 in Wilmington, California

Provider Information

NPI Number: 1831718022
Entity Type: Organization
Organization Name: Rise of the Phoenix Whole Health Center
Primary Specialty: Acupuncturist
Enumeration Date: Apr 9, 2020
Last Updated: Apr 9, 2020

Practice Location

Address: 1703 N AVALON BLVD
City: Wilmington
State: California
ZIP Code: 90744-1432
Phone: (805) 405-1250

Authorized Official

Name: DR. DIANA ROMAN, L.AC
Title: OWNER
Phone: (805) 405-1250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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