Pine Street Clinic LLC
NPI #1801194303 in San Anselmo, California
Provider Information
- NPI Number
- 1801194303
- Entity Type
- Organization
- Organization Name
- Pine Street Clinic LLC
- Primary Specialty
- Acupuncturist
- Enumeration Date
- Mar 8, 2011
- Last Updated
- Mar 8, 2011
Practice Location
- Address
- 124 PINE ST
- City
- San Anselmo
- State
- California
- ZIP Code
- 94960-2602
- Phone
- (415) 485-0484
Authorized Official
- Name
- MICHAEL BROFFMAN, LAC
- Title
- MEMBER
- Phone
- (415) 485-0484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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