| NPI | 1447023049 |
|---|---|
| Doing Business As | EVERGREEN ACUPUNCTURE AND CHINESE MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | FANG WAN Acupuncturist 719-828-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-01-05 |