Individual
MRS. ANDREA FUZIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
405 KAINS AVE, ALBANY, CA 94706-1271
(510) 384-1751
Mailing address
1286 61ST ST, EMERYVILLE, CA 94608-2133
(510) 384-1751
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 13455
CA
Other
Enumeration date
11/01/2010
Last updated
10/27/2011
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