Individual
BAOWEN MIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
839 WINIFRED DR, SAN JOSE, CA 95122-3345
(415) 734-6852
Mailing address
839 WINIFRED DR, SAN JOSE, CA 95122-3345
(415) 734-6852
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17794
CA
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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