# ACUPUNCTURE MAMA

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

## Provider details

- **NPI number:** 1588178313
- **Authorized official:** ANNETTE ROMIOS L.AC. (PRESIDENT/ACUPUNCTURIST)
- **Authorized official phone:** (707) 303-7200

## Contact information

- **Practice address:** 4730 HOEN AVE, SANTA ROSA, CA 95405
- **Practice address phone:** (707) 303-7200
- **Practice address fax:** (707) 303-7400
- **Mailing address:** 4730 HOEN AVE, SANTA ROSA, CA 95405
- **Mailing address phone:** (707) 303-7200
- **Mailing address fax:** (707) 303-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC11991 | CA | Yes |

## Other

- **Enumeration date:** 12/01/2017
- **Last updated:** 11/16/2018