Organization · NPI-2

118clinic INC.

Acupuncturist · Seattle, WA

NPI number1093137432
StatusActive
Last updated in NPPESJan 18, 2014

Details

NPI
1093137432
Entity type
Organization (NPI-2)
Legal business name
118clinic INC.
Organization subpart
No
Enumeration date
Jan 18, 2014
Last updated
Jan 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist––Yes

Other names

  • 3rd Space Community Acupuncture (Doing Business As)

Practice location

3811 S Ferdinand St
Apt B
Seattle, WA 98118-1759

Phone 206-760-6064

Mailing address

4516 Evanston Ave N
Seattle, WA 98103-6431

Phone 206-453-8552

Authorized official

Antonio Ignacio Palacios
Owner/Practitioner
2064588552

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