Individual
ANDREA T CLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, LMT
Contact information
Practice address
14650 AVIATION BLVD, SUITE 100, HAWTHORNE, CA 90250-6668
(310) 725-8505
Mailing address
255 W 7TH ST, APT 22, SAN PEDRO, CA 90731-0300
(704) 796-5220
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 14910
CA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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