Individual
CLARA LAURENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
100 E MANZANITA ST, SUITE C, FORT BRAGG, CA 95437-3054
(707) 813-0105
Mailing address
11021 GURLEY LN, MENDOCINO, CA 95460-9584
(707) 813-0105
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16702
CA
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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