| Blue Peacock Acupuncture Llc | |
|
4007 Bridgeport Way W Ste C University Place WA 98466-4330 | |
| (253) 242-3661 | |
| Not Available |
| Full Name | Blue Peacock Acupuncture Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4007 Bridgeport Way W Ste C, University Place, Washington |
| Authorized Official Name and Position | Erin Dietz (OWNER/PRACTITIONER) |
| Authorized Official Contact | 2063515922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Peacock Acupuncture Llc 5319 S Junett St Tacoma WA 98409-6334 Ph: (206) 351-5922 | Blue Peacock Acupuncture Llc 4007 Bridgeport Way W Ste C University Place WA 98466-4330 Ph: (253) 242-3661 |
| NPI Number | 1508612292 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508612292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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