Individual
PHAVIKONE SUNDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
22000 MARINE VIEW DR S STE 202, DES MOINES, WA 98198-6233
(206) 321-0120
Mailing address
22000 MARINE VIEW DR S STE 202, DES MOINES, WA 98198-6233
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002249
WA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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