Provider Demographics
NPI:1457586323
Name:HAHN, RENEE (LIC AC)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 14TH ST
Mailing Address - Street 2:#204
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1060
Mailing Address - Country:US
Mailing Address - Phone:415-722-1723
Mailing Address - Fax:
Practice Address - Street 1:550 14TH ST
Practice Address - Street 2:#204
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1060
Practice Address - Country:US
Practice Address - Phone:415-722-1723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219526171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist