Individual
DR. CINDY FAE ICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., O.M.D.
Contact information
Practice address
760 MARKET ST, SUITE 759, SAN FRANCISCO, CA 94102-2401
(415) 262-0083
Mailing address
3532 19TH ST, SAN FRANCISCO, CA 94110-1612
(415) 565-0658
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 1508
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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