Provider Demographics
NPI:1386853729
Name:ZHOU, QUAN (LIC AC)
Entity Type:Individual
Prefix:
First Name:QUAN
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HORSE HILL STREET
Mailing Address - Street 2:
Mailing Address - City:DUNSTABLE
Mailing Address - State:MA
Mailing Address - Zip Code:01827
Mailing Address - Country:US
Mailing Address - Phone:978-649-8399
Mailing Address - Fax:
Practice Address - Street 1:28 HORSE HILL ST
Practice Address - Street 2:
Practice Address - City:DUNSTABLE
Practice Address - State:MA
Practice Address - Zip Code:01827-2709
Practice Address - Country:US
Practice Address - Phone:978-649-8399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA214628171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist