Individual
GAIL MICHELLE CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., L.M.P.
Contact information
Practice address
22005 76TH AVE W, EDMONDS, WA 98026-7905
(206) 595-4512
(425) 776-3844
Mailing address
22005 76TH AVE W, EDMONDS, WA 98026-7905
(206) 595-4512
(425) 776-3844
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002247
WA
174400000X
Specialist
MA00011147
WA
Other
Enumeration date
04/24/2007
Last updated
11/14/2019
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