Organization
DEFAZIO GREWELL ACUPUNCTURE, INC.
Active
Other names
Auburn Acupuncture Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY ANN DEFAZIO L.AC. (OWNER)
(425) 780-7502
Entity
Organization
Contact information
Practice address
819 HARVEY RD NE, AUBURN, WA 98002-4225
(425) 780-7502
Mailing address
819 HARVEY RD NE, AUBURN, WA 98002-4225
(425) 780-7502
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000674
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194194381
NPPES
—
01
—
1417137126
NPPES
—
Enumeration date
06/05/2017
Last updated
06/05/2017
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