Individual
MR. JACK CARACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
4897 INDIAN PEAK RD, MARIPOSA, CA 95338
(209) 742-4211
(209) 742-4211
Mailing address
POB 1416, MARIPOSA, CA 95338
(209) 742-4211
(209) 742-4211
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 2857
CA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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