Individual
YEFIM GAMGONEISHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
2033 E SIMS WAY, PORT TOWNSEND, WA 98368-6905
(360) 344-2957
Mailing address
907 W SREET, PORT TOWNSEND, WA 98368
(360) 379-6655
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60461823
WA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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