# EAST-WEST NATURAL MEDICINE INC.

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

## Provider details

- **NPI number:** 1508320672
- **Authorized official:** MS. JESSICA L. PIAZZA L.AC. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (707) 508-5295

## Contact information

- **Practice address:** 2200 RANGE AVE \#207, SANTA ROSA, CA 95403
- **Practice address phone:** (707) 978-4293
- **Mailing address:** 2200 RANGE AVE \#207, SANTA ROSA, CA 95403
- **Mailing address phone:** (707) 978-4293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 03/21/2019
