Individual
CARA LOGAN BROCKBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
330 41ST ST, OAKLAND, CA 94609-2653
(510) 325-6109
Mailing address
330 41ST ST, OAKLAND, CA 94609-2653
(510) 325-6109
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 6176
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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