Individual
DR. MOONGI HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAOM
Contact information
Practice address
3816 STEILACOOM BLVD SW, LAKEWOOD, WA 98499-4552
(847) 712-8125
Mailing address
7620 40TH ST W APT 1, UNIVERSITY PLACE, WA 98466-3801
(847) 712-8125
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
198000925
IL
171100000X
Acupuncturist
Primary
AC60493370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198000925
STATE LICENSE
IL
Enumeration date
05/24/2010
Last updated
06/11/2019
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