Individual
GLENNA MAPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., R.N.
Contact information
Practice address
1101 S WINCHESTER BLVD, SUITE N-267, SAN JOSE, CA 95128-3901
(408) 314-9830
Mailing address
22285 S DE ANZA CIR, CUPERTINO, CA 95014-3952
(408) 257-7651
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 14977
CA
Other
Enumeration date
10/31/2012
Last updated
07/18/2013
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