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NPI Code Detail

MEDICARE: MS. GRETCHEN ELIZABETH SEITZ L.AC., DIPL.OM

MEDICARE:  MS. GRETCHEN ELIZABETH SEITZ  L.AC., DIPL.OM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist8597CA

General Provider Information

NPI Number : 1396876959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GRETCHEN ELIZABETH SEITZ L.AC., DIPL.OM
Provider Business Mailing Address
First Line : 1912 GATEWAY DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-5106
Country : US
Telephone Number : 619-302-6846
Fax Number :
Provider Business Practice Location Address
First Line : 3320 2ND AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-5612
Country : US
Telephone Number : 619-302-6846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ MS. GRETCHEN ELIZABETH SEITZ L.AC., DIPL.OM” Practice Location

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