Heavenly Ancestor 5 Element Acupuncture LLC

NPI #1114387560 in Bainbridge Island, Washington

Provider Information

NPI Number
1114387560
Entity Type
Organization
Organization Name
Heavenly Ancestor 5 Element Acupuncture LLC
Primary Specialty
Acupuncturist
Enumeration Date
Feb 27, 2016
Last Updated
Mar 1, 2016

Practice Location

Address
7701 WESTERLY LN NE
ZIP Code
98110-2698
Phone
(206) 245-6119

Authorized Official

Name
MS. KIRSTEN MARIE THOMASSEN, EAMP, L.AC., DIPL.AC
Title
ACUPUNCTURIST
Phone
(206) 245-6119

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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