Healthcare Provider Details
I. General information
NPI: 1649865460
Provider Name (Legal Business Name): DENISE BOWDEN ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2409 SACRAMENTO ST STE 2
SAN FRANCISCO CA
94115-2225
US
IV. Provider business mailing address
2409 SACRAMENTO ST STE 2
SAN FRANCISCO CA
94115-2225
US
V. Phone/Fax
- Phone: 415-440-7668
- Fax:
- Phone: 415-440-7668
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DENISE
M
BOWDEN
Title or Position: ACUPUNCTURIST
Credential:
Phone: 415-440-7668