Individual
COURTNEY BLAIRE JONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
884 PORTOLA ROAD, SUITE A-5, PORTOLA VALLEY, CA 94028-8633
(650) 346-8732
Mailing address
PO BOX 620656, WOODSIDE, CA 94062-0656
(650) 346-8732
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 10371
CA
171100000X
Acupuncturist
ACU 768
HI
Other
Enumeration date
03/15/2007
Last updated
03/20/2014
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