Provider Demographics
NPI:1164450805
Name:WARNKE, CHERYL ELIZABETH (LAC, DIPL AC)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ELIZABETH
Last Name:WARNKE
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4542 RUFFNER ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2237
Mailing Address - Country:US
Mailing Address - Phone:858-576-7243
Mailing Address - Fax:858-576-1009
Practice Address - Street 1:4542 RUFFNER ST
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2237
Practice Address - Country:US
Practice Address - Phone:858-576-7243
Practice Address - Fax:858-576-1009
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC4590171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist