Provider Demographics
NPI:1982044558
Name:FINK, JEANI PATRICE (LAC)
Entity Type:Individual
Prefix:MISS
First Name:JEANI
Middle Name:PATRICE
Last Name:FINK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 KING ST UNIT 401
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-4911
Mailing Address - Country:US
Mailing Address - Phone:415-385-3669
Mailing Address - Fax:
Practice Address - Street 1:3515 GRAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2037
Practice Address - Country:US
Practice Address - Phone:510-292-7019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15482171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist