# INGRID PETERSON, L.AC.

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

## Provider details

- **NPI number:** 1679007041
- **Authorized official:** INGRID PETERSON L.AC. (OWNER)
- **Authorized official phone:** (510) 473-7179

## Contact information

- **Practice address:** 2460 MISSION ST, SUITE 104, SAN FRANCISCO, CA 94110-2467
- **Practice address phone:** (510) 473-7179
- **Mailing address:** 2460 MISSION ST, SUITE 104, SAN FRANCISCO, CA 94110-2467
- **Mailing address phone:** (510) 473-7179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC14919 | CA | Yes |

## Other

- **Enumeration date:** 04/12/2017
- **Last updated:** 04/12/2017