Individual
MISS GRACE BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
220 CLUB DR, SAN CARLOS, CA 94070-1617
(408) 799-4222
Mailing address
220 CLUB DR, SAN CARLOS, CA 94070-1617
(408) 799-4222
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
15424
CA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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