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Individual

MR. SHU FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACUPUNCTURIST

Contact information

Practice address
1712 I ST NW STE 410, WASHINGTON, DC 20006-3746
(703) 772-7592
Mailing address
7106 NORWALK ST, FALLS CHURCH, VA 22043-1517
(703) 772-7592

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC500100
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264739042
ACUPUNCTURE
DC
Enumeration date
09/29/2009
Last updated
07/21/2022
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