| NPI | 1346881489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAKARLA MADHAVAN Manager 408-909-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |