Organization
MICHAEL PREVEC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANDREW PREVEC LAC, LMP (ACUPUNCTURIST/MASSAGE PRACTITIONER)
(360) 694-7668
Entity
Organization
Contact information
Practice address
1906 BROADWAY ST, VANCOUVER, WA 98663-3325
(360) 694-7668
(360) 694-9531
Mailing address
1906 BROADWAY ST, VANCOUVER, WA 98663-3325
(360) 694-7668
(360) 694-9531
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
60251662
WA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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