Individual
VASHIR JIM XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
3726 RUBY AVE, RACINE, WI 53402
(414) 234-8544
Mailing address
3726 RUBY AVE, RACINE, WI 53402-3076
(414) 234-8544
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
589-055
WI
Other
Enumeration date
03/25/2011
Last updated
11/29/2021
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