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Individual

MRS. DEIRDRA JOY CLAIBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
824 5TH AVENUE, SUITE C, SAN RAFAEL, CA 94901
(415) 485-5834
(415) 456-2636
Mailing address
824 5TH AVENUE, SUITE C, SAN RAFAEL, CA 94901
(415) 485-5834
(415) 456-2636

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
CW1488
CA

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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