Individual
JIAN SHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
6836 E GENESEE ST, FAYETTEVILLE, NY 13066-1024
(315) 449-0464
(315) 449-3734
Mailing address
6836 E GENESEE ST, FAYETTEVILLE, NY 13066-1024
(315) 449-0464
(315) 449-3734
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000452
NY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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