Provider Demographics
NPI:1487887857
Name:NURTURE ACUPUNCTURE
Entity type:Organization
Organization Name:NURTURE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:TOGNETTI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-287-1390
Mailing Address - Street 1:1520 THE ALAMEDA
Mailing Address - Street 2:130
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2316
Mailing Address - Country:US
Mailing Address - Phone:408-287-1390
Mailing Address - Fax:408-287-1351
Practice Address - Street 1:1520 THE ALAMEDA
Practice Address - Street 2:130
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2316
Practice Address - Country:US
Practice Address - Phone:408-287-1390
Practice Address - Fax:408-287-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10226171100000X
CA5239171100000X
CA4665171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty