Organization
WELLNESS ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE HUI LEE OMD. LAC (OWNER)
(213) 905-0566
Entity
Organization
Contact information
Practice address
1866 E MAIN ST, BARSTOW, CA 92311
(213) 905-0566
Mailing address
1866 E MAIN ST, BARSTOW, CA 92311
(213) 905-0566
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
AC15436
CA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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