Individual
YAN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, SUITE 206, TAMPA, FL 33613-3946
(813) 977-2677
(813) 977-2877
Mailing address
13801 BRUCE B DOWNS BLVD, SUITE 206, TAMPA, FL 33613-3946
(813) 977-2677
(813) 977-2877
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1061
ACUPUNCTURE LICENSE #
FL
Enumeration date
11/13/2006
Last updated
08/17/2009
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