Organization
HE LIAN TANG ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAN HE L.AC. DAOM (PRESIDENT)
(707) 863-8988
Entity
Organization
Contact information
Practice address
4725 MANGELS BLVD, FAIRFIELD, CA 94534-4175
(707) 863-8988
Mailing address
4725 MANGELS BLVD, FAIRFIELD, CA 94534-4175
(707) 863-8988
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11443
CA
Other
Enumeration date
06/19/2015
Last updated
01/26/2016
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