Individual
DIA MAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AC
Contact information
Practice address
3005 SILVER CREEK RD #142, SAN JOSE, CA 95121-0005
(408) 227-9088
(408) 227-9102
Mailing address
3005 SILVER CREEK #142, SAN JOSE, CA 95121
(408) 227-9088
(408) 227-9102
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC3406
CA
Other
Enumeration date
09/20/2006
Last updated
11/22/2010
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