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Organization
JENNIFER RANDOLPH ACUPUNCTURE
Active
Organization
JENNIFER RANDOLPH ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN RANDOLPH L.AC. (LICENSED ACUPUNCTURIST)
(310) 832-5818
Entity
Organization
Contact information
Practice address
302 W 5TH ST, SUITE 101, SAN PEDRO, CA 90731-2738
(310) 832-5818
(310) 832-7236
Mailing address
302 W 5TH ST, SUITE 101, SAN PEDRO, CA 90731-2738
(310) 832-5818
(310) 832-7236
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16368
CA
171100000X
Acupuncturist
17194
CA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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