# DEFAZIO GREWELL ACUPUNCTURE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Auburn Acupuncture Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083143952
- **Authorized official:** MOLLY ANN DEFAZIO L.AC. (OWNER)
- **Authorized official phone:** (425) 780-7502

## Contact information

- **Practice address:** 819 HARVEY RD NE, AUBURN, WA 98002-4225
- **Practice address phone:** (425) 780-7502
- **Mailing address:** 819 HARVEY RD NE, AUBURN, WA 98002-4225
- **Mailing address phone:** (425) 780-7502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00000674 | WA | Yes |

## Other

- **Enumeration date:** 06/05/2017
- **Last updated:** 06/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1194194381 | NPPES | — |
| 01 | — | 1417137126 | NPPES | — |