Phavikone Sundara, ACUPUNCTURIST

NPI #1366631483 in Des Moines, Washington

Provider Information

NPI Number: 1366631483
Entity Type: Individual
Name: Phavikone Sundara, ACUPUNCTURIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: ACUPUNCTURIST
Enumeration Date: Oct 15, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 22000 MARINE VIEW DR S STE 202
City: Des Moines
State: Washington
ZIP Code: 98198-6233
Phone: (206) 321-0120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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