| NPI | 1699206821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREJ PRADO NICKEL Owner/ Acupuncturist 360-218-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60616546) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-04-17 |