MEDICARE: JOANNE W ENG

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	2204	NV

General Provider Information

NPI Number	:	1588408132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE W ENG

Provider Business Mailing Address
First Line	:	10120 W FLAMINGO RD STE 4
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8394
Country	:	US
Telephone Number	:	702-417-2632
Fax Number	:

Provider Business Practice Location Address
First Line	:	8630 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2836
Country	:	US
Telephone Number	:	702-417-2632
Fax Number	:

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

Provider Enumeration Date	:	06/19/2024
Last Update Date	:	06/19/2024

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Directions to “ JOANNE W ENG ” Practice Location

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