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Individual

PROF. SUNNY YAN WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC.

Contact information

Practice address
12505 BEL RED RD STE 188, BELLEVUE, WA 98005-2510
(425) 999-7172
Mailing address
12505 BEL RED RD STE 188, BELLEVUE, WA 98005-2510
(425) 999-7172

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC OOOO3022
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC 00003022
STATE OF WASHINGTON
WA
Enumeration date
03/21/2012
Last updated
03/21/2012
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