Individual
AMOS PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5924 STONERIDGE DR STE 204A, PLEASANTON, CA 94588-5400
(925) 399-1005
Mailing address
5924 STONERIDGE DR STE 204A, PLEASANTON, CA 94588-5400
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC19021
CA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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