Healthcare Provider Details

I. General information

NPI: 1083171953
Provider Name (Legal Business Name): APRIL SUZANNE GILL L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1885 LUNDY AVE STE 108
SAN JOSE CA
95131-1887
US

IV. Provider business mailing address

500 AMALFI LOOP APT 524
MILPITAS CA
95035-8088
US

V. Phone/Fax

Practice location:
  • Phone: 408-260-8868
  • Fax:
Mailing address:
  • Phone: 408-805-5053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC18352
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: