Provider Demographics
NPI:1730556689
Name:DAO, CHRISTINE (LAC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:DAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:ILOVAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:379 S LIVERMORE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4681
Mailing Address - Country:US
Mailing Address - Phone:510-957-8260
Mailing Address - Fax:510-952-8266
Practice Address - Street 1:379 S LIVERMORE AVE STE B
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4681
Practice Address - Country:US
Practice Address - Phone:510-957-8260
Practice Address - Fax:510-952-8266
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16553171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist