| NPI | 1700338803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN LAO Owner 609-286-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 25MZ00122200) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PA AK001166) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |