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Individual

MR. ERIC JOHNSON WITHERSPOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
221 2ND STREET, SUITE 15B, LANGLEY, WA 98260
(360) 221-2181
Mailing address
830 FURMAN AVE, LANGLEY, WA 98260-9528
(360) 221-2386

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002859
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC00002859
CERTIFIED ACUPUNCTURIST
WA
Enumeration date
06/04/2007
Last updated
07/08/2007
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