Organization
BRIDGE WELLNESS AND ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA C SULLIVAN ANTONETTI LAC (OWNER)
(415) 676-1832
Entity
Organization
Contact information
Practice address
900 S ELISEO DR STE 104, GREENBRAE, CA 94904-2152
(415) 676-1832
Mailing address
900 S ELISEO DR STE 104, GREENBRAE, CA 94904-2152
(415) 676-1832
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447208491
NPI
CA
Enumeration date
01/10/2025
Last updated
01/10/2025
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