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Organization
DEFAZIO GREWELL ACUPUNCTURE, INC.
Active
Organization
DEFAZIO GREWELL ACUPUNCTURE, INC.
Active
Other names
Auburn Acupuncture Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY ANN DEFAZIO L.AC. (OWNER)
(425) 780-7502
Entity
Organization
Contact information
Practice address
819 HARVEY RD NE, AUBURN, WA 98002-4225
(425) 780-7502
Mailing address
819 HARVEY RD NE, AUBURN, WA 98002-4225
(425) 780-7502
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194194381
NPPES
—
01
—
1417137126
NPPES
—
Enumeration date
06/05/2017
Last updated
06/05/2017
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