Organization
IMMUNE ENHANCEMENT PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHANGA BLISS L.AC. (CLINICAL DIRECTOR)
(415) 252-8711
Entity
Organization
Contact information
Practice address
3450 16TH ST, SAN FRANCISCO, CA 94114-1730
(415) 252-8711
(415) 252-8710
Mailing address
3450 16TH ST, SAN FRANCISCO, CA 94114-1730
(415) 252-8711
(415) 252-8710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CA 7355
CA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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