Individual
MS. ELISA BETH OVERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
841 SAN BRUNO AVE W, #10, SAN BRUNO, CA 94066-3443
(415) 608-9533
Mailing address
11 MAYFIELD AVE, DALY CITY, CA 94015-3914
(415) 608-9533
(415) 373-4441
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11364
CA
Other
Enumeration date
01/04/2007
Last updated
07/09/2009
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