Organization
ABUNDANT HEAVEN TRADITIONAL CHINESE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GIESE-GARDNER L.AC. (DIRECTOR & CO-FOUNDER)
(408) 628-1888
Entity
Organization
Contact information
Practice address
621 E CAMPBELL AVE STE 8, CAMPBELL, CA 95008-2126
(408) 628-1888
(408) 724-8999
Mailing address
621 E CAMPBELL AVE STE 8, CAMPBELL, CA 95008-2126
(408) 628-1888
(408) 724-8999
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 15236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ78623Y
BLUE SHIELD OF CALIFORNIA PIN
CA
Enumeration date
08/22/2014
Last updated
08/22/2014
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