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Organization

ACUPUNCTURE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACQUELYN C. BYRD DAOM, L.AC. (CEO, CFO)
(831) 224-7621
Entity
Organization

Contact information

Practice address
859 UNIVERSITY AVE APT 7, LOS GATOS, CA 95032-7616
(831) 224-7621
Mailing address
859 UNIVERSITY AVE APT 7, LOS GATOS, CA 95032-7616
(831) 224-7621

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396041919
CA
Enumeration date
04/17/2020
Last updated
04/17/2020
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