Individual
GEN-GEN JEN LOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CARISBROOK DR, ORINDA, CA 94563-4325
(925) 818-2585
Mailing address
8 CARISBROOK DR, ORINDA, CA 94563-4325
(925) 818-2585
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 16690
CA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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