Provider Demographics
NPI:1477971570
Name:SABLOSKY, EMILY (LAC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SABLOSKY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SABLOSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, DACM
Mailing Address - Street 1:3446 PARK BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5209
Mailing Address - Country:US
Mailing Address - Phone:619-341-9195
Mailing Address - Fax:619-692-0428
Practice Address - Street 1:3446 PARK BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5209
Practice Address - Country:US
Practice Address - Phone:619-341-9195
Practice Address - Fax:619-692-0428
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15975171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist