Individual
AVISHAN SABERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
110 W MAPLE STREE, CENTRALIA, WA 98531
(360) 868-5025
(360) 868-5025
Mailing address
110 W MAPLE STREET, CENTRALIA, WA 98531
(360) 868-4421
(360) 299-5025
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60869961
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC60869961
LICENSE
WA
Enumeration date
06/25/2018
Last updated
05/19/2022
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