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Organization
NOVATO ACUPUNCTURE AND HERB CLINIC INC
Active
Organization
NOVATO ACUPUNCTURE AND HERB CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E PERI DOM (PRESIDENT)
(415) 897-4678
Entity
Organization
Contact information
Practice address
1531 S NOVATO BLVD, SUITE E, NOVATO, CA 94947-4184
(415) 897-4678
(415) 897-8558
Mailing address
1531 S NOVATO BLVD, SUITE E, NOVATO, CA 94947-4184
(415) 897-4678
(415) 897-8558
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5915
CA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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