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Organization
PRIME ACUPUNCTURE CORPORATION
Active
Organization
PRIME ACUPUNCTURE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MO L. AC. (PRESIDENT)
(408) 821-8827
Entity
Organization
Contact information
Practice address
4155 MOORPARK AVE STE 11, SAN JOSE, CA 95117-1714
(408) 821-8827
Mailing address
4155 MOORPARK AVE STE 11, SAN JOSE, CA 95117-1714
(408) 821-8827
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC15174
—
CA
Enumeration date
08/25/2020
Last updated
12/22/2022
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