SHOU-YUAN FAN

NEWARK, NJ
NPI1003134206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: NJ  25MZ00073400)
Additional Taxonomies171100000X Acupuncturist
(Licence: NY  004232)
Enumeration Date2010-05-12
Last Update Date2012-03-29
Business Address
-- SHOU-YUAN FAN L.Ac.
500 MOUNT PROSPECT AVE
NEWARK, NJ 07104-2904
Phone number: 973-350-0073
Mailing Address
-- SHOU-YUAN FAN L.Ac.
500 MOUNT PROSPECT AVE
NEWARK, NJ 07104-2904
Phone number: