ALYSSA TENNENBAUM GONG

BERKELEY, CA
NPI1982239687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   636958)
Additional Taxonomies171100000X Acupuncturist
(Licence: CA  17272)
Enumeration Date2020-03-03
Last Update Date2020-03-03
Business Address
ALYSSA TENNENBAUM GONG RD, LAc, CDCES
2634 PIEDMONT AVE
BERKELEY, CA 94704-3413
Phone number: 310-749-1888
Mailing Address
ALYSSA TENNENBAUM GONG RD, LAc, CDCES
2634 PIEDMONT AVE
BERKELEY, CA 94704-3413
Phone number: