Organization
EASTWEST WELLNESS LLC
Active
Other names
Eastwest Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY SURYA DAOM, LAC (CEO/CO-FOUNDER)
(520) 308-5289
Entity
Organization
Contact information
Practice address
7440 N ORACLE RD BLDG 4, TUCSON, AZ 85704-6378
(520) 308-5289
(520) 989-3025
Mailing address
60568 E EAGLE RIDGE DR, TUCSON, AZ 85739-5945
(786) 908-6166
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
11/18/2021
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