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Organization
MARIN ORIENTAL MEDICINE, INC.
Active
Organization
MARIN ORIENTAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN SHEPHERD REIFF L.AC. (VICE PRESIDENT)
(415) 498-0755
Entity
Organization
Contact information
Practice address
38 CALEDONIA ST STE 1, SAUSALITO, CA 94965-2117
(415) 332-1013
(415) 231-3086
Mailing address
38 CALEDONIA ST STE 1, SAUSALITO, CA 94965-2117
(415) 332-1013
(415) 231-3086
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265612436
NPI
—
01
—
1760667455
NPI
—
Enumeration date
06/13/2017
Last updated
06/13/2017
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