Individual
ALEXANDER TREVISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., DIPL. AC.
Contact information
Practice address
1689 LAUREL ST, SAN CARLOS, CA 94070-5216
(650) 307-2644
Mailing address
1689 LAUREL ST, SAN CARLOS, CA 94070-5216
(650) 307-2644
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 3950
CA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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