Provider Demographics
NPI:1346431764
Name:HUANG, WEILI L (REG ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:WEILI
Middle Name:L
Last Name:HUANG
Suffix:
Gender:F
Credentials:REG ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6303 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-3114
Mailing Address - Country:US
Mailing Address - Phone:937-277-5989
Mailing Address - Fax:
Practice Address - Street 1:6303 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-3114
Practice Address - Country:US
Practice Address - Phone:937-277-5989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000030171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist