Individual
ELISA BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12737 BEL RED RD, STE 210, BELLEVUE, WA 98005-2699
(425) 533-7320
Mailing address
PO BOX 63, CARNATION, WA 98014-0063
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
60339269
WA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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