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Organization
JADE DRAGON MEDICAL SPA
Active
Organization
JADE DRAGON MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BAKER (PRESIDENT)
(707) 822-4300
Entity
Organization
Contact information
Practice address
827 BAYSIDE RD, ARCATA, CA 95521-6403
(707) 822-4300
(707) 822-4330
Mailing address
827 BAYSIDE RD, ARCATA, CA 95521-6403
(707) 822-4300
(707) 822-4330
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760637326
NPI
—
Enumeration date
08/03/2011
Last updated
08/03/2011
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