Individual
MEEAE OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10511 140TH STREET CT E UNIT 35, PUYALLUP, WA 98374-4929
(808) 728-3960
Mailing address
10511 140TH STREET CT E UNIT 35, PUYALLUP, WA 98374-4929
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60134537
WA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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