| NPI | 1942712633 |
|---|---|
| Doing Business As | GREAT WALL CHINESE MEDICINE AND ACUPUNCTURE |
| Entity Type | Organization |
| Authorized Contact | QINGSONG XIAO Director 480-429-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0522) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-21514) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-08-30 |