Organization
BLUE PEACOCK ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DIETZ LAC (OWNER/PRACTITIONER)
(206) 351-5922
Entity
Organization
Contact information
Practice address
4007 BRIDGEPORT WAY W STE C, UNIVERSITY PLACE, WA 98466-4330
(253) 242-3661
Mailing address
5319 S JUNETT ST, TACOMA, WA 98409-6334
(206) 351-5922
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
05/22/2024
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