Provider Demographics
NPI:1538287735
Name:POWER, PATRICIA A (LAC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:POWER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:POWER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:1551 W GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-2226
Mailing Address - Country:US
Mailing Address - Phone:805-481-9696
Mailing Address - Fax:805-481-4541
Practice Address - Street 1:1551 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-2226
Practice Address - Country:US
Practice Address - Phone:805-481-9696
Practice Address - Fax:805-481-4541
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11037171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist