# MOUNTLAKE ACUPUNCTURE CORP.

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

## Provider details

- **NPI number:** 1174160147
- **Authorized official:** JINGYANG NA LAC (OWNER)
- **Authorized official phone:** (206) 434-5929

## Contact information

- **Practice address:** 1008 CENTRAL AVE N, KENT, WA 98032-3053
- **Practice address phone:** (206) 434-5929
- **Mailing address:** 1008 CENTRAL AVE N, KENT, WA 98032-3053
- **Mailing address phone:** (206) 434-5929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2019
- **Last updated:** 12/09/2019