Sea Gate Wellness LLC
NPI #1033717780 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1033717780
- Entity Type
- Organization
- Organization Name
- Sea Gate Wellness LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Oct 14, 2020
Practice Location
- Address
- 2020 INDIAN RIDGE RD APT 206
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-4299
- Phone
- (727) 593-4149
Authorized Official
- Name
- XIUJIAO LI
- Title
- MANAGER
- Phone
- (423) 930-5205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
| Clinic/Center |
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