Most Relevant Information
Provider Data
| NPI Number: | 1003250119 |
| Provider Name: | MIA BURMESTER LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 13015 |
Most Important Dates
| Enumeration Date: | 04/18/2013 |
| Last Updated: | 04/18/2013 |
Provider Practice Location
1501 MARIPOSA ST
SUITE 318
SAN FRANCISCO
CA
941072387
Practice Location Phone/Fax
| Phone: | 4152552252 |
| Fax: |
Provider Mailing Location
1501 MARIPOSA ST
SUITE 318
SAN FRANCISCO
CA
941072387
Provider Mailing Phone/Fax
| Phone: | 4152552252 |
| Fax: |