NPI | 1659426641 |
---|---|
Other Name | KELCY DUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC11039) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27420) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-08 |