| NPI | 1932550183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIN PARK Owner 206-960-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC60493370) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC00000376) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |