| NPI | 1922548031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN RANDOLPH Licensed Acupuncturist 310-832-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16368) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 17194) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |