Courtney Blaire Jonson, L.Ac.
Acupuncturist in Portola Valley, CA. Individual provider (NPI-1).
NPI number1083748784
StatusActive
Last updated in NPPESMar 20, 2014
Details
- NPI
- 1083748784
- Entity type
- Individual (NPI-1)
- Name
- Courtney Blaire Jonson
- Credential
- L.Ac.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2007
- Last updated
- Mar 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC 10371 | CA | Yes |
| 171100000X | Acupuncturist | ACU 768 | HI |
Practice location
884 Portola RoadSuite A-5
Portola Valley, CA 94028-8633
Phone 650-346-8732
Mailing address
Po Box 620656Woodside, CA 94062-0656
Phone 650-346-8732
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