Individual
DR. ETHAN Y PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENCED ACUPUNCTURI
Contact information
Practice address
795 CASTRO ST, MOUNTAIN VIEW, CA 94041-2013
(650) 961-1688
(650) 961-7466
Mailing address
795 CASTRO ST, MOUNTAIN VIEW, CA 94041-2013
(650) 961-1688
(650) 961-7466
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12890
CA
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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