Johannes Hendrikus Schothorst JR. LAC

NPI 1063797488 - Acupuncturist - 171100000X

NPI Details
NPI 1063797488
Gender Male
Enumeration Date 10/17/2011
Last Updated 10/17/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
13252 GARDEN GROVE BLVD STE 112
GARDEN GROVE CA, 92843-2270, US
Phone (714) 740-1778
Fax (714) 740-1918
Business Location
13252 GARDEN GROVE BLVD STE 112
GARDEN GROVE CA, 92843-2270, US
Phone (714) 740-1778
Fax (714) 740-1918
Toxanomy
Taxonomy Code 171100000X
License State California
License Number 14054
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According to our database, Mr. Johannes Hendrikus Schothorst JR. LAC NPI is 1063797488, taxonomy code is 171100000X and license number is 14054, license state is located at California. Johannes Hendrikus Schothorst JR. LAC physically located at 13252 Garden Grove Blvd Ste 112, Garden Grove CA, 92843-2270. NPI Number Johannes Hendrikus Schothorst JR. LAC has the Individual type.

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1063797488 NPI number is provided on an as is basis without warranty of any kind. 1063797488 is maintained by the National Plan & Provider Enumeration System. The contents of Johannes Hendrikus Schothorst JR. LAC are for informational purposes only.