Jutara Srivali Teal, L.AC

NPI #1962719146 in Long Beach, California

Provider Information

NPI Number: 1962719146
Entity Type: Individual
Name: Jutara Srivali Teal, L.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: L.AC
Enumeration Date: Sep 9, 2010
Last Updated: Sep 12, 2010

Practice Location

Address: 3815 ATLANTIC AVE
Address 2: #5
City: Long Beach
State: California
ZIP Code: 90807-3500
Phone: (562) 896-3685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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