# ACUPUNCTURE STUDIO OF SAN RAFAEL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447547542
- **Authorized official:** MISS AMBER SCRIVEN MS LAC (ACUPUNCTURIST, CO FOUNDER)
- **Authorized official phone:** (415) 488-3932

## Contact information

- **Practice address:** 526 3RD ST STE C1, SAN RAFAEL, CA 94901-3364
- **Practice address phone:** (415) 488-3932
- **Mailing address:** 8 GRANDE PASEO, SAN RAFAEL, CA 94903-1518
- **Mailing address phone:** (415) 328-6098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC13882 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2011
- **Last updated:** 07/09/2011
