# ACUPUNCTURE HERBAL CENTER

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

## Provider details

- **NPI number:** 1659817419
- **Authorized official:** DEIRDRA CLAIBORNE L.AC. (OWNER)
- **Authorized official phone:** (415) 485-5834

## Contact information

- **Practice address:** 824 5TH AVE, SUITE C, SAN RAFAEL, CA 94901-3257
- **Practice address phone:** (415) 485-5834
- **Practice address fax:** (415) 456-2636
- **Mailing address:** 824 5TH AVE, SUITE C, SAN RAFAEL, CA 94901-3257
- **Mailing address phone:** (415) 485-5834
- **Mailing address fax:** (415) 456-2636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC1488 | CA | Yes |
| 171100000X | Acupuncturist | AC1592 | CA | — |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017
