Organization
MAPLE LEAF HEALING ARTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL MICHELLE CLEVENGER L.M.P., L.AC. (OWNER)
(206) 595-4512
Entity
Organization
Contact information
Practice address
9200 ROOSEVELT WAY NE, SEATTLE, WA 98115-2842
(206) 527-4568
Mailing address
9200 ROOSEVELT WAY NE, SEATTLE, WA 98115
(206) 595-4512
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002247
WA
174400000X
Specialist
MA00011147
WA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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