Provider Demographics
NPI:1275852485
Name:YU, ENHONG
Entity Type:Individual
Prefix:
First Name:ENHONG
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 EASTWOOD RD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-7229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1908 EASTWOOD RD
Practice Address - Street 2:SUITE 221
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-7229
Practice Address - Country:US
Practice Address - Phone:910-256-3939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC535171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist