Individual
MRS. HEATHER VANTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC.
Contact information
Practice address
39 CURTIS AVE, SAN RAFAEL, CA 94901-2006
(415) 259-7211
Mailing address
39 CURTIS AVE, SAN RAFAEL, CA 94901-2006
(415) 259-7211
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5531
CA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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