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Organization
SOUTHBAY PAIN & SPORTS MEDICINE ACUPUNCTURE
Active
Organization
SOUTHBAY PAIN & SPORTS MEDICINE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKI HIGUCHI L.AC. (OWNER)
(408) 605-1471
Entity
Organization
Contact information
Practice address
2920 BROADWAY, REDWOOD CITY, CA 94062-1578
(408) 600-1513
Mailing address
PO BOX 610110, REDWOOD CITY, CA 94061-0110
(408) 605-1471
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14131
CA
Other
Enumeration date
05/16/2011
Last updated
07/27/2016
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