Miracle Island Pllc

NPI #1114431079 in Mercer Island, Washington

Provider Information

NPI Number: 1114431079
Entity Type: Organization
Organization Name: Miracle Island Pllc
Primary Specialty: Acupuncturist
Enumeration Date: Nov 29, 2017
Last Updated: Oct 11, 2020

Practice Location

Address: 7605 SE 27TH ST STE 103
City: Mercer Island
State: Washington
ZIP Code: 98040-2852
Phone: (206) 519-9039

Authorized Official

Name: HAIMING SHI
Title: CEO
Phone: (206) 519-9039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Acupuncturist	171100000X	Primary

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