# FANG ACUPUNCTURE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134398993
- **Authorized official:** MRS. TAMERA J CAMPBELL (OFFICE MANAGER)
- **Authorized official phone:** (360) 825-7549

## Contact information

- **Practice address:** 1737 WELLS ST, ENUMCLAW, WA 98022-3518
- **Practice address phone:** (360) 825-7549
- **Mailing address:** 1737 WELLS ST, ENUMCLAW, WA 98022-3518
- **Mailing address phone:** (360) 825-7549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00002176 | WA | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 02/26/2008