MEDICARE: MS. LESLIE RACHEL SILVER L.AC. DIPL. O.M.

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
1	171100000X	Acupuncturist	AC12347	CA

General Provider Information

NPI Number	:	1235430240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE RACHEL SILVER L.AC. DIPL. O.M.

Provider Business Mailing Address
First Line	:	731 WILSON ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-2801
Country	:	US
Telephone Number	:	707-363-1384
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 LERNHART ST
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94559-4442
Country	:	US
Telephone Number	:	707-363-1384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2010
Last Update Date	:	11/07/2010

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