Individual
DR. DAESONG YIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LAC
Contact information
Practice address
1500 AIRPORT WAY # A, FAIRBANKS, AK 99701-4002
(907) 456-2100
(907) 456-2472
Mailing address
1500 AIRPORT WAY # C, FAIRBANKS, AK 99701-4002
(907) 456-2100
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
117
AK
171100000X
Acupuncturist
AC00003084
WA
Other
Enumeration date
08/25/2008
Last updated
09/10/2008
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