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Organization
GOOD LIFE ACUPUNCTURE
Active
Organization
GOOD LIFE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MCCONNELL L.AC. (OWNER)
(408) 831-8084
Entity
Organization
Contact information
Practice address
4205 SAN FELIPE RD STE 210, SAN JOSE, CA 95135-1550
(408) 250-1408
Mailing address
2710 GUMDROP DR, SAN JOSE, CA 95148-2022
(408) 831-8084
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14232395
CAQH
—
Enumeration date
05/18/2018
Last updated
11/20/2020
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