Individual
MR. CLAY BRECKINRIDGE DAULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1435 MONTGOMERY DR, SANTA ROSA, CA 95405-4505
(707) 547-7014
Mailing address
1813 WILL SCARLET LN, SANTA ROSA, CA 95405-4618
(707) 547-7014
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC19545
CA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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