Organization
INGRID PETERSON, L.AC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID PETERSON L.AC. (OWNER)
(510) 473-7179
Entity
Organization
Contact information
Practice address
2460 MISSION ST, SUITE 104, SAN FRANCISCO, CA 94110-2467
(510) 473-7179
Mailing address
2460 MISSION ST, SUITE 104, SAN FRANCISCO, CA 94110-2467
(510) 473-7179
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14919
CA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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