Individual
TAE HOON JI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1933 W MAIN ST STE 1, MESA, AZ 85201-6930
(480) 730-4991
(480) 946-3366
Mailing address
1933 W MAIN ST STE 1, MESA, AZ 85201-6930
(480) 730-4991
(480) 946-3366
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1074
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283
ACUPUNCTURE
AZ
Enumeration date
06/14/2017
Last updated
07/21/2022
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