Provider Demographics
NPI:1417224437
Name:SEXAUER, MONET ROSHAAN (LAC, DIPL OM)
Entity type:Individual
Prefix:
First Name:MONET
Middle Name:ROSHAAN
Last Name:SEXAUER
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MARKET ST STE 514
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2134
Mailing Address - Country:US
Mailing Address - Phone:415-298-6862
Mailing Address - Fax:
Practice Address - Street 1:703 MARKET ST STE 514
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2134
Practice Address - Country:US
Practice Address - Phone:415-298-6862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14156171100000X
133677171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist