Individual
JIA GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M., L.AC
Contact information
Practice address
4990 STATE RD, STORE # 7, DREXEL HILL, PA 19026-4635
(610) 628-9220
(610) 628-9214
Mailing address
734 LINDALE AVE, DREXEL HILL, PA 19026-3908
(610) 628-9220
(610) 628-9214
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
KO000598
PA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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