Individual
ELAINE STA-IGLESIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1009 TERRA NOVA BLVD, PACIFICA, CA 94044-4308
(650) 440-6647
Mailing address
208 AVALON DR, DALY CITY, CA 94015-4601
(415) 203-0590
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19075
CA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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