Individual
MS. BAMBOO ILANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
116 E CAMPBELL AVE STE 7, CAMPBELL, CA 95008-2048
(408) 866-6353
Mailing address
99 E MIDDLEFIELD RD APT 11, MOUNTAIN VIEW, CA 94043-3831
(650) 962-0675
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 7721
CA
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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