Individual
MS. JUDITH KOMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P, L.A.C.
Contact information
Practice address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
(707) 559-7500
(707) 559-7620
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
CA7924
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
21030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA792H
ACUPUNTURIST
CA
Enumeration date
07/21/2006
Last updated
07/06/2012
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