Individual
MS. CONSTANCE PRODROMOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
710 C ST, SUITE 210, SAN RAFAEL, CA 94901-3857
(415) 485-1639
(415) 485-0103
Mailing address
710 C ST, SUITE 210, SAN RAFAEL, CA 94901-3857
(415) 485-1639
(415) 485-0103
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
CA 6956
CA
Other
Enumeration date
05/15/2007
Last updated
02/14/2012
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