Individual
MRS. BORAVY MUONG-KEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3278 PADILLA WAY, SAN JOSE, CA 95148-2745
(408) 834-3396
Mailing address
3278 PADILLA WAY, SAN JOSE, CA 95148-2745
(408) 834-3396
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17791
CA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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