Provider Demographics
NPI:1932162997
Name:CALDERONE, JOYCE (LAC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:
Last Name:CALDERONE
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 1:945 SPRING ST STE 14
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-5537
Mailing Address - Country:US
Mailing Address - Phone:805-591-4525
Mailing Address - Fax:805-309-5262
Practice Address - Street 1:945 SPRING ST STE 14
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-5537
Practice Address - Country:US
Practice Address - Phone:805-591-4525
Practice Address - Fax:805-309-5262
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7015171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist