Individual
MS. NANCY JO VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 BROADWAY ST, VANCOUVER, WA 98663-3325
(360) 694-7668
Mailing address
1713 NE 70TH ST, VANCOUVER, WA 98665-0571
(360) 798-5346
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00003046
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028241
DIPL. AC
WA
01
—
AC00003046
LAC WA STATE
WA
01
—
RN00124870
RN
WA
Enumeration date
01/16/2008
Last updated
01/16/2008
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