Individual
MR. CLARK KENJI HIRABAYASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
908 E ST, SAN RAFAEL, CA 94901-2851
(415) 608-5860
Mailing address
908 E ST, SAN RAFAEL, CA 94901-2851
(415) 608-5860
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 7998
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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