Provider Demographics
NPI:1619412764
Name:GOWER, YUKO (LAC)
Entity Type:Individual
Prefix:MS
First Name:YUKO
Middle Name:
Last Name:GOWER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 WEBSTER STREET SUITE 245
Mailing Address - Street 2:JAPAN TOWN ACUPUNCTURE & ORIENTAL MEDICINE, INC.
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-922-2100
Mailing Address - Fax:
Practice Address - Street 1:1581 WEBSTER STREET
Practice Address - Street 2:SUITE 245
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-922-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8223171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist