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Organization
ACUPUNCTURE HERBAL CENTER
Active
Organization
ACUPUNCTURE HERBAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRA CLAIBORNE L.AC. (OWNER)
(415) 485-5834
Entity
Organization
Contact information
Practice address
824 5TH AVE, SUITE C, SAN RAFAEL, CA 94901-3257
(415) 485-5834
(415) 456-2636
Mailing address
824 5TH AVE, SUITE C, SAN RAFAEL, CA 94901-3257
(415) 485-5834
(415) 456-2636
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC1488
CA
171100000X
Acupuncturist
AC1592
CA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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