Provider Demographics
NPI:1093938649
Name:WU, YUERU (LAC)
Entity Type:Individual
Prefix:MISS
First Name:YUERU
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 SOUTH CASTLEROCK TERRACE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3257
Mailing Address - Country:US
Mailing Address - Phone:408-720-8252
Mailing Address - Fax:408-720-8252
Practice Address - Street 1:305 SOUTH DR
Practice Address - Street 2:SUITE 3
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4207
Practice Address - Country:US
Practice Address - Phone:650-967-0768
Practice Address - Fax:408-720-8252
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3170171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist