Healthcare Provider Details

I. General information

NPI: 1558432047
Provider Name (Legal Business Name): NEKA PASQUALE L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 STRAWBERRY VLG # 216
MILL VALLEY CA
94941-2330
US

IV. Provider business mailing address

701 LYON ST
SAN FRANCISCO CA
94115-4365
US

V. Phone/Fax

Practice location:
  • Phone: 415-297-9933
  • Fax:
Mailing address:
  • Phone: 415-297-9933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 8353
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: