Organization
FUN LAC INC
Active
Other names
Upland Acupuncture & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SHENFANG SHARON CHANG (OWNER)
(858) 722-8868
Entity
Organization
Contact information
Practice address
77 E 7TH ST STE B, UPLAND, CA 91786-6601
(909) 294-6198
Mailing address
77 E 7TH ST STE B, UPLAND, CA 91786-6601
(909) 294-6198
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13570
CA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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