Individual
BRIAN BLINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1261 LINCOLN AVE STE 205, SAN JOSE, CA 95125-3031
(831) 428-5616
Mailing address
1261 LINCOLN AVE STE 205, SAN JOSE, CA 95125-3031
(831) 428-5616
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17112
CA
Other
Enumeration date
07/11/2016
Last updated
03/17/2018
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