Individual
FAN CHI KUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST
Contact information
Practice address
2065 IVORY DR, DUARTE, CA 91010-3232
(626) 371-3303
Mailing address
2065 IVORY DR, DUARTE, CA 91010-3232
(626) 371-3303
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19927
CA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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