Provider Demographics
NPI:1689910309
Name:DANCIU, ALITIA BETH (LAC, CMT)
Entity Type:Individual
Prefix:MISS
First Name:ALITIA
Middle Name:BETH
Last Name:DANCIU
Suffix:
Gender:F
Credentials:LAC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 SAINT CHARLES ST
Mailing Address - Street 2:APT. C
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-7418
Mailing Address - Country:US
Mailing Address - Phone:503-863-0049
Mailing Address - Fax:
Practice Address - Street 1:331 PALISADES AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-5434
Practice Address - Country:US
Practice Address - Phone:503-863-0049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14941171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist