Individual
PETER GRANT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
113 5TH AVE SE, OLYMPIA, WA 98501-1121
(360) 867-9906
Mailing address
3230 90TH AVE NW, OLYMPIA, WA 98502-9643
(360) 867-9906
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000032
WA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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