Individual
CONNIE POND LOCK-BOUVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
101 N EL CAMINO REAL, #4, SAN MATEO, CA 94401-2700
(415) 203-6025
Mailing address
101 N EL CAMINO REAL, #4, SAN MATEO, CA 94401-2700
(415) 203-6025
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15288
CA
Other
Enumeration date
08/13/2013
Last updated
03/31/2014
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