1821221235

Everything you always wanted to know about SHEN JING L.AC. but were afraid to ask.

SHEN JING L.AC.

You can also download the this 1821221235 data report as csv | excel | json | xml
Provider Last Name Provider First Name Provider Credential
SHEN JING L.AC.
Gender:
Female
Enumeration date:
2009-09-01
Last update date:
2009-09-01
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
171100000X Acupuncturist MO 2008011444 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6365364070
Practice Location Address Telephone Number 6365364070
Mailing Address Fax Number 6364891782
Practice Location Address Fax Number 6364891782

Addresses

Type Address City State Postal Country
Mailing Address 1154 HOLLOW VALLEY CT SUITE 140 SAINT CHARLES MO 63304 MO
Practice Location Address 17269 WILD HORSE CREEK RD CHESTERFIELD MO 63005 MO

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Organization
17269 WILD HORSE CREEK RD MO CHESTERFIELD