Jesse W.s Tung LAC

NPI 1063774768 - Acupuncturist - 171100000X

NPI Details
NPI 1063774768
Gender Male
Enumeration Date 06/09/2012
Last Updated 06/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
109 E VALLEY BLVD
SAN GABRIEL CA, 91776-3518, US
Phone (626) 905-1915
Fax
Business Location
109 E VALLEY BLVD
SAN GABRIEL CA, 91776-3518, US
Phone (626) 905-1915
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number 14750
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According to our database, Mr. Jesse W.s Tung LAC NPI is 1063774768, taxonomy code is 171100000X and license number is 14750, license state is located at California. Jesse W.s Tung LAC physically located at 109 E Valley Blvd, San Gabriel CA, 91776-3518. NPI Number Jesse W.s Tung LAC has the Individual type.

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1063774768 NPI number is provided on an as is basis without warranty of any kind. 1063774768 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse W.s Tung LAC are for informational purposes only.