Individual
HEIDE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 GRANT AVE STE 108, NOVATO, CA 94945-3150
(415) 895-5871
(415) 895-6389
Mailing address
1500 GRANT AVE STE 108, NOVATO, CA 94945-3150
(415) 895-5871
(415) 895-6389
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16486
CA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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