Organization
ZEN WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONGKYU SONG L.AC. DAOM (PRESIDENT)
(302) 559-1325
Entity
Organization
Contact information
Practice address
249 PHILADELPHIA PIKE, WILMINGTON, DE 19809-3109
(302) 559-1325
Mailing address
249 PHILADELPHIA PIKE, WILMINGTON, DE 19809-3109
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124496484
ACUPUNCTURE
—
Enumeration date
12/04/2017
Last updated
12/04/2017
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