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Organization
MOUNTLAKE ACUPUNCTURE CORP.
Active
Organization
MOUNTLAKE ACUPUNCTURE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINGYANG NA LAC (OWNER)
(206) 434-5929
Entity
Organization
Contact information
Practice address
1008 CENTRAL AVE N, KENT, WA 98032-3053
(206) 434-5929
Mailing address
1008 CENTRAL AVE N, KENT, WA 98032-3053
(206) 434-5929
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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