Jian Shu, LIC. AC.

NPI #1962591891 in Fayetteville, New York

Provider Information

NPI Number: 1962591891
Entity Type: Individual
Name: Jian Shu, LIC. AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LIC. AC.
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6836 E GENESEE ST
City: Fayetteville
State: New York
ZIP Code: 13066-1024
Phone: (315) 449-0464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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