Individual
MR. JONATHAN CHARLES FAIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
225 E MAIN ST, OTHELLO, WA 99344-1053
(509) 488-0797
Mailing address
225 E MAIN ST, OTHELLO, WA 99344-1053
(509) 488-0797
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60218566
WA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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