Provider First Line Business Practice Location Address:
650 E. THOUSAND OAKS BLVD
Provider Second Line Business Practice Location Address:
CHAN ACUPUNCTURE CLINIC
Provider Business Practice Location Address City Name:
THOUSAND OAKS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91360-6009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-463-6187
Provider Business Practice Location Address Fax Number:
805-497-7631
Provider Enumeration Date:
01/21/2009