Evergreen Bio-Tech INC
Acupuncturist in Tucson, AZ. Organization (NPI-2).
NPI number1851574487
StatusActive
Last updated in NPPESDec 5, 2007
Details
- NPI
- 1851574487
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Bio-Tech INC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2007
- Last updated
- Dec 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 0448 | AZ | Yes |
Practice location
5501 N Oracle RdSuite 145
Tucson, AZ 85704-3829
Phone 520-889-9366 · Fax 480-357-4639
Mailing address
9221 E Baseline RdSuite A109-617
Mesa, AZ 85209-8310
Phone 480-357-3904 · Fax 480-357-4639
Authorized official
Teng Fang Wu
Provider
4803573904
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