Individual
DR. ELIZABETH ANN ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DACM, L.AC
Contact information
Practice address
85 BOLINAS RD STE 5, FAIRFAX, CA 94930-1626
(925) 336-9773
Mailing address
965 MAGNOLIA AVE APT 62, LARKSPUR, CA 94939-1026
(925) 336-9773
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18876
CA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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