Raven Acupuncture Clinic, Inc.
NPI #1306399563 in Santa Clara, California
Provider Information
- NPI Number
- 1306399563
- Entity Type
- Organization
- Organization Name
- Raven Acupuncture Clinic, Inc.
- Primary Specialty
- Acupuncturist
- Enumeration Date
- Jul 24, 2016
- Last Updated
- Aug 24, 2016
Practice Location
- Address
- 1961 PRUNERIDGE AVE
- Address 2
- SUITE B1
- City
- Santa Clara
- State
- California
- ZIP Code
- 95050-6575
- Phone
- (408) 758-2881
Authorized Official
- Name
- JOCELYN CHIE JACKSON, L.AC.
- Title
- PRESIDENT
- Phone
- (408) 758-2881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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