Provider Demographics
NPI:1295131340
Name:PAPPALARDO, JIANNA ZHAO (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:JIANNA
Middle Name:ZHAO
Last Name:PAPPALARDO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:JIANNA
Other - Middle Name:
Other - Last Name:ZHAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1067 PREWETT RANCH DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8261
Mailing Address - Country:US
Mailing Address - Phone:925-812-0662
Mailing Address - Fax:
Practice Address - Street 1:2063 PACHECO STREET
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520
Practice Address - Country:US
Practice Address - Phone:925-812-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15810171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist