Organization
EVERGREEN EAST ASIAN MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH NGUYEN DSOM (CO-OWNER)
(602) 653-7272
Entity
Organization
Contact information
Practice address
7025 N 57TH AVE, GLENDALE, AZ 85301-2517
(623) 243-5195
Mailing address
7025 N 57TH AVE, GLENDALE, AZ 85301-2517
(623) 243-5195
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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