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NPI Code Detail

MEDICARE: MARLY WEXLER L.AC.

MEDICARE:   MARLY  WEXLER  L.AC.
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
1171100000XAcupuncturist3513CA

General Provider Information

NPI Number : 1144451170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLY WEXLER L.AC.
Provider Business Mailing Address
First Line : 4314 1/2 CAMPUS AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2407
Country : US
Telephone Number : 619-295-7121
Fax Number :
Provider Business Practice Location Address
First Line : 4314 1/2 CAMPUS AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2407
Country : US
Telephone Number : 619-295-7121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2009
Last Update Date : 08/08/2009

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Directions to “ MARLY WEXLER L.AC.” Practice Location

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