Individual
MR. JIMMY WOON FON LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
5233 E SOUTHERN AVE, MESA, AZ 85206-3625
(480) 567-5267
Mailing address
530 E MCDOWELL RD # 107-405, PHOENIX, AZ 85004-1549
(480) 462-1590
(602) 715-1566
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1067
AZ
171100000X
Acupuncturist
AC12024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12024
LICENSE
CA
01
—
LAC-1067
AZ STATE BOARD LICENSE
AZ
Enumeration date
11/02/2007
Last updated
06/07/2023
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