Organization
HEAVENLY ANCESTOR 5 ELEMENT ACUPUNCTURE LLC
Active
Other names
5 Element Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIRSTEN MARIE THOMASSEN EAMP, L.AC., DIPL.AC (ACUPUNCTURIST)
(206) 245-6119
Entity
Organization
Contact information
Practice address
7701 WESTERLY LN NE, BAINBRIDGE ISLAND, WA 98110-2698
(206) 245-6119
Mailing address
7701 WESTERLY LN NE, BAINBRIDGE ISLAND, WA 98110-2698
(206) 245-6119
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
5401000102
MI
171100000X
Acupuncturist
Primary
AC 60354712
WA
Other
Enumeration date
02/27/2016
Last updated
03/01/2016
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