Individual
FANGRUI SHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
481 GREAT RD STE 6, ACTON, MA 01720-4158
(857) 348-7857
Mailing address
9 COOLIDGE AVE, WESTFORD, MA 01886-1807
(857) 348-7857
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
295585
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FAKEONE
—
MA
Enumeration date
01/17/2022
Last updated
05/30/2023
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