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NPI Code Detail

MEDICARE: MISS YUERU WU LAC

MEDICARE:  MISS YUERU  WU  LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC3170CA

General Provider Information

NPI Number : 1093938649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS YUERU WU LAC
Provider Business Mailing Address
First Line : 524 SOUTH CASTLEROCK TERRACE
Second Line :
City : SUNNYVALE
State : CA
Zip : 94087-3257
Country : US
Telephone Number : 408-720-8252
Fax Number : 408-720-8252
Provider Business Practice Location Address
First Line : 305 SOUTH DR
Second Line : SUITE 3
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4207
Country : US
Telephone Number : 650-967-0768
Fax Number : 408-720-8252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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Directions to “ MISS YUERU WU LAC” Practice Location

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