Individual
MR. ANDREW EBALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSAOM, E.A.M.P.
Contact information
Practice address
1611 116TH AVE NE, SUITE 101, BELLEVUE, WA 98004-3048
(206) 898-1204
Mailing address
PO BOX 1221, BOTHELL, WA 98041-1221
(206) 898-1204
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002441
WA
Other
Enumeration date
11/28/2007
Last updated
08/30/2016
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