Individual
SHINIK KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L. AC
Contact information
Practice address
817 N MARINE CORPS DR, 109, TAMUNING, GU 96913
(671) 687-9000
Mailing address
817 N MARINE CORPS DR, 109, TAMUNING, GU 96913
(671) 687-9000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A-23
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-23
ACUPUNCTURE
GU
Enumeration date
02/06/2019
Last updated
02/06/2019
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