Individual
MR. JEREMY ELI GILSOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
7822 27TH ST W, UNIVERSITY PLACE, WA 98466-4111
(253) 243-2308
Mailing address
5702 N 33RD ST UNIT 26C, TACOMA, WA 98407-2598
(206) 669-2355
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60487836
WA
174400000X
Specialist
4190-046
WI
Other
Enumeration date
10/21/2008
Last updated
01/12/2023
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