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Organization
LLY HEALING CENTER
Active
Organization
LLY HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QI-WEN SONG LAC (ACUPUNCTURIST)
(408) 868-2866
Entity
Organization
Contact information
Practice address
900 S WINCHESTER BLVD, SUITE 3, SAN JOSE, CA 95128-2901
(408) 868-2866
Mailing address
900 S WINCHESTER BLVD, SUITE 3, SAN JOSE, CA 95128
(408) 868-2866
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10552
CA
171100000X
Acupuncturist
AC13264
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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