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Individual

CARLOS HAYCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, LAC

Contact information

Practice address
2320 WOOLSEY ST STE 100, BERKELEY, CA 94705-1974
(415) 297-1129
Mailing address
4908 THUNDERHEAD CT, RICHMOND, CA 94803-2144
(415) 297-1129

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
17602
CA
171100000X
Acupuncturist
Primary

Other

Enumeration date
12/10/2017
Last updated
12/10/2017
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