Organization
REVIDA ACUPUNCTURE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LISZT M.S., L.AC. (ACUPUNCTURIST)
(415) 857-4464
Entity
Organization
Contact information
Practice address
1618 UNION ST, SAN FRANCISCO, CA 94123-4507
(415) 857-4464
(415) 750-3999
Mailing address
411 14TH AVE, SAN FRANCISCO, CA 94118-2805
(415) 857-4464
(415) 750-3999
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14731
CA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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