Individual
MISS EMILY JASMINE HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MAOM
Contact information
Practice address
250 N MAIN ST, SUITE E, FORT BRAGG, CA 95437-3622
(707) 969-7679
Mailing address
31360 HIGHWAY 20, FORT BRAGG, CA 95437-9270
(707) 969-7679
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 13564
CA
Other
Enumeration date
05/14/2010
Last updated
09/14/2011
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