Provider Demographics
NPI:1144350174
Name:SNYDER, DAVID L (DIPL OM, C HT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DIPL OM, C HT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:312 S CEDROS AVE
Mailing Address - Street 2:STE 326
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1979
Mailing Address - Country:US
Mailing Address - Phone:858-481-1438
Mailing Address - Fax:858-481-1738
Practice Address - Street 1:312 S CEDROS AVE
Practice Address - Street 2:STE 326
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1979
Practice Address - Country:US
Practice Address - Phone:858-481-1438
Practice Address - Fax:858-481-1738
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10917171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist