Organization
EMPIRE TRADITIONAL CHINESE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSTON L.AC. (LICENSED ACUPUNCTURIST)
(707) 978-6465
Entity
Organization
Contact information
Practice address
1030 SECOND ST, SANTA ROSA, CA 95404
(707) 978-6465
(707) 202-6898
Mailing address
1030 SECOND ST, SANTA ROSA, CA 95404
(707) 978-6465
(707) 202-6898
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 9474
CA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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