Healthcare Provider Details

I. General information

NPI: 1053658823
Provider Name (Legal Business Name): ANN KATHLEEN WEES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANN KATHLEEN WEES L.AC.

II. Dates (important events)

Enumeration Date: 01/13/2013
Last Update Date: 01/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SUTTER ST SUITE 1336
SAN FRANCISCO CA
94108-4206
US

IV. Provider business mailing address

450 SUTTER ST SUITE 1336
SAN FRANCISCO CA
94108-4206
US

V. Phone/Fax

Practice location:
  • Phone: 415-755-5467
  • Fax:
Mailing address:
  • Phone: 415-755-5467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 9085
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: