Organization
FENG SUN LLC
Active
Other names
Evergreen Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
FENG YUN HE L.AC (OWNER)
(916) 833-2682
Entity
Organization
Contact information
Practice address
155 MAIN ST, WOODLAND, CA 95695
(530) 650-8119
Mailing address
P.O. BOX 245931, SACRAMENTO, CA 95824
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 11935
CALIFORNIA ACUPUNCTURE BOARD
CA
01
—
AC 14737
CALIFORNIA ACUPUNCTURE BOARD
CA
Enumeration date
03/17/2016
Last updated
05/21/2016
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