Individual
MS. SUNG EUN RA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
332A SOUNDVIEW LN, COLLEGE POINT, NY 11356-1169
(917) 863-0388
Mailing address
332A SOUNDVIEW LN, COLLEGE POINT, NY 11356-1169
(917) 863-0388
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005004
NY
171100000X
Acupuncturist
25MZ00100600
NJ
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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