| NPI | 1184928103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA PHAM Manager/Provider 509-294-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60187384) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00003095) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2023-09-30 |