Provider Demographics
NPI:1679182737
Name:WEBB, VERONICA (LAC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14551 LITTLE HILL LN
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-8492
Mailing Address - Country:US
Mailing Address - Phone:808-315-3677
Mailing Address - Fax:
Practice Address - Street 1:530 SEARLS AVE STE B
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-3048
Practice Address - Country:US
Practice Address - Phone:808-315-3677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18879171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist