Individual
JACKIE FANG-YI CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
100 OCONNOR DR STE 27, SAN JOSE, CA 95128-1655
(408) 831-1038
Mailing address
3178 HOSTETTER RD, SAN JOSE, CA 95132-1733
(408) 707-2094
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
20077
CA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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