Individual
PEIWEN WANG FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EAMP, LAC
Contact information
Practice address
17311 135TH AVE NE STE A250, WOODINVILLE, WA 98072-7084
(425) 408-0040
Mailing address
18120 102ND AVE NE APT 320, BOTHELL, WA 98011-3490
(206) 335-1213
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC61005822
WA
Other
Enumeration date
10/25/2019
Last updated
02/16/2021
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