Individual
ELAINE TEOLOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN, CMT, LAC
Contact information
Practice address
1638 3RD AVE, OAKLAND, CA 94606-1725
(310) 987-1453
Mailing address
1638 3RD AVE, OAKLAND, CA 94606-1725
(310) 987-1453
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18490
CA
225700000X
Massage Therapist
10423
CA
Other
Enumeration date
01/03/2014
Last updated
05/09/2019
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