Individual
KIMIKO SHIMODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPL. OM, LAC
Contact information
Practice address
18809 W CATAWBA AVE STE 204, CORNELIUS, NC 28031-5895
(704) 912-4691
Mailing address
18809 W CATAWBA AVE STE 204, CORNELIUS, NC 28031-5895
(704) 912-4691
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2167
NC
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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