| NPI | 1699075606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL MICHELLE CLEVENGER Owner 206-595-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00002247) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00011147) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |