Organization
EVERGREEN NATURAL HEALING ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA IONG (CEO)
(408) 483-0747
Entity
Organization
Contact information
Practice address
2680 S WHITE RD STE 270, SAN JOSE, CA 95148-2081
(408) 514-7943
Mailing address
3185 CHILLUM CT, SAN JOSE, CA 95148-3634
(408) 483-0747
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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