Organization
SPRING TIDE NATURAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ENFIELD ND, LAC (OWNER)
(650) 777-7966
Entity
Organization
Contact information
Practice address
205 E 3RD AVE, SUITE 206, SAN MATEO, CA 94401-4051
(650) 777-7966
Mailing address
205 E 3RD AVE, SUITE 206, SAN MATEO, CA 94401-4051
(650) 777-7966
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC 12565
CA
175F00000X
Naturopath
Primary
ND 256
CA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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