Individual
JING WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PETTIBUSH LN, DUXBURY, MA 02332-4311
(781) 500-9161
(781) 336-4165
Mailing address
29 PETTIBUSH LN, DUXBURY, MA 02332-4311
(781) 500-9161
(781) 336-4165
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
225900
MA
171100000X
Acupuncturist
6473886
NY
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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