Individual
JIASHU TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 364-0905
Mailing address
1081 E. 18TH ST., ROLLA, MO 65401
(573) 364-0905
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2005013972
MO
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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