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Organization
TIDELANDS ACUPUNCTURE
Active
Organization
TIDELANDS ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENGJI LI (OWNER)
(408) 207-8785
Entity
Organization
Contact information
Practice address
400 MARINERS ISLAND BLVD UNIT 215, SAN MATEO, CA 94404-1079
(408) 207-8785
Mailing address
400 MARINERS ISLAND BLVD UNIT 215, SAN MATEO, CA 94404-1079
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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