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Organization
ORIGIN ACUPUNCTURE
Active
Organization
ORIGIN ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUAN GAN LAC (OWNER)
(510) 766-8057
Entity
Organization
Contact information
Practice address
950 WOODSIDE RD STE 2, REDWOOD CITY, CA 94061-3643
(510) 766-8057
Mailing address
950 WOODSIDE RD STE 2, REDWOOD CITY, CA 94061-3643
(510) 766-8057
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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