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Organization
RAVEN ACUPUNCTURE CLINIC, INC.
Active
Organization
RAVEN ACUPUNCTURE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN CHIE JACKSON L.AC. (PRESIDENT)
(408) 758-2881
Entity
Organization
Contact information
Practice address
1961 PRUNERIDGE AVE, SUITE B1, SANTA CLARA, CA 95050-6575
(408) 758-2881
(855) 781-8279
Mailing address
1961 PRUNERIDGE AVE, SUITE B1, SANTA CLARA, CA 95050-6575
(408) 758-2881
(855) 781-8279
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16969
CA
Other
Enumeration date
07/24/2016
Last updated
08/24/2016
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