Organization
ACUPUNCTURE & HERBAL MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE D WU LAC (OWNER)
(425) 643-3758
Entity
Organization
Contact information
Practice address
1 LAKE BELLEVUE DR, SUITE 105, BELLEVUE, WA 98005-2417
(425) 643-3758
Mailing address
1 LAKE BELLEVUE DR, SUITE 105, BELLEVUE, WA 98005-2417
(425) 643-3758
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00000342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC00000342
OWNERS LAC LICENSE
WA
Enumeration date
08/20/2007
Last updated
04/20/2008
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