Individual
MR. GIDON LEVENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MACOM
Contact information
Practice address
1970 KNOLLS DR, SANTA ROSA, CA 95405-8305
(805) 298-3580
Mailing address
1970 KNOLLS DR, SANTA ROSA, CA 95405-8305
(805) 298-3580
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 16831
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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