Individual
YOUL N/A PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AC
Contact information
Practice address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(206) 400-7707
Mailing address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(206) 400-7707
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60185525
WA
Other
Enumeration date
10/20/2010
Last updated
12/11/2019
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