| NPI | 1689135964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKA J FUJII Director 765-450-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-09-18 |