Individual
CLAY KENNETH WALTON-HADLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1436 GLENPINE DR, SAN JOSE, CA 95125-3309
(408) 317-8340
Mailing address
1436 GLENPINE DR, SAN JOSE, CA 95125-3309
(408) 317-8340
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14122
CA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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