Individual
JUDY TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2105 112TH AVE NE STE 101, BELLEVUE, WA 98004-2945
(425) 908-0354
Mailing address
2105 112TH AVE NE STE 101, BELLEVUE, WA 98004-2945
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005164
NY
171100000X
Acupuncturist
Primary
AC61104896
WA
Other
Enumeration date
09/25/2013
Last updated
03/13/2023
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