Organization
EVERGREEN CHINESE MEDICINE LLC
Active
Other names
Evergreen Acupuncture and Chinese Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FANG WAN (ACUPUNCTURIST)
(719) 828-1166
Entity
Organization
Contact information
Practice address
5555 ERINDALE DR STE 107, COLORADO SPRINGS, CO 80918-6964
(719) 828-1166
Mailing address
10261 MEADOW MIST CT, COLORADO SPRINGS, CO 80920-2421
(719) 828-1166
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
01/05/2025
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