Individual
ANNIE ENLI TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1441 FRANKLIN ST STE 203, OAKLAND, CA 94612-3219
(510) 420-5787
(510) 420-5787
Mailing address
15103 SHINING STAR LN, SAN LEANDRO, CA 94579-1994
(510) 483-7764
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 10188
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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