Provider Demographics
NPI:1053658823
Name:WEES, ANN KATHLEEN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:KATHLEEN
Last Name:WEES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:KATHLEEN
Other - Last Name:WEES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 1336
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
Mailing Address - Country:US
Mailing Address - Phone:415-755-5467
Mailing Address - Fax:
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:SUITE 1336
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-755-5467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9085171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist