Individual
MRS. ELISE RENEE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
767 LINCOLN AVE, STE. # 4, SAN RAFAEL, CA 94901-3311
(415) 306-4590
Mailing address
767 LINCOLN AVE, STE. # 4, SAN RAFAEL, CA 94901-3311
(415) 306-4590
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
10964
CA
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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