NPI 1346734001

Stephanie X Gong, LAC

Practitioner Acupuncturist Livermore, CA

Practice location

Address: 4080 East Ave, Livermore, CA 94550-4941
Phone: (925) 606-6013
Mailing address: 6276 Camino del Lago, Pleasanton, CA 94566-8647

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 18004 (CA)

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Registry record

NPI: 1346734001
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2018
Record last updated: 17 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.