MR. Michiel Coyote, L.AC, C.M.T.

NPI #1891066361 in Fairfax, California

Provider Information

NPI Number: 1891066361
Entity Type: Individual
Name: MR. Michiel Coyote, L.AC, C.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC, C.M.T.
Enumeration Date: Jan 15, 2012
Last Updated: Jan 15, 2012

Practice Location

Address: 751 CENTER BLVD
City: Fairfax
State: California
ZIP Code: 94930-1764
Phone: (415) 419-5397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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