Organization
FULL MOON ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI VOGEL MOREN L.AC. (OWNER)
(415) 235-5092
Entity
Organization
Contact information
Practice address
440 GRAND AVE STE 401, OAKLAND, CA 94610-5032
(415) 235-5092
Mailing address
2300 SPAULDING AVE, BERKELEY, CA 94703-1628
(415) 235-5092
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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