NPI | 1407039118 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN TUNG Owner 408-410-7821 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC11253) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: CA AC11253) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2008-08-22 |