MEDICARE: DIANA DONG HESTER L.AC.

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
1	171100000X	Acupuncturist	AC60068494	WA

General Provider Information

NPI Number	:	1114153970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA DONG HESTER L.AC.

Provider Business Mailing Address
First Line	:	1007 158TH PL SE
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98008-5039
Country	:	US
Telephone Number	:	425-614-9996
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 BELLEVUE WAY SE STE 202
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-6649
Country	:	US
Telephone Number	:	425-614-9996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	01/16/2015

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Directions to “ DIANA DONG HESTER L.AC.” Practice Location

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