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Individual

MASAKO KITADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EAMP, L.AC, DI.O.M

Contact information

Practice address
11671 SE 1ST STREET SUITE202, BELLEVUE, WA 98005
(425) 577-8074
(425) 455-0346
Mailing address
11671 SE 1ST STREET SUITE 202, BELLEVUE, WA 98005
(425) 577-8074
(425) 455-0346

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC11198
CA
171100000X
Acupuncturist
Primary
AC60162207
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-5042985
TAX ID
CA
Enumeration date
03/02/2007
Last updated
06/16/2011
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