Individual
AMANDA GRACE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
154 MARINER GREEN CT, CORTE MADERA, CA 94925-2014
(415) 688-0373
Mailing address
154 MARINER GREEN CT, CORTE MADERA, CA 94925-2014
(415) 688-0373
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
15917
CA
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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