Individual
ELLA DONGQING XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3099 DEVAUDEN CT, DULUTH, GA 30096-3534
(470) 858-7030
Mailing address
3099 DEVAUDEN CT, DULUTH, GA 30096-3534
(470) 858-7030
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
424
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054098980
—
GA
Enumeration date
05/10/2018
Last updated
05/10/2018
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