Provider Demographics
NPI:1538294673
Name:SIU, MOYEE (LAC)
Entity Type:Individual
Prefix:
First Name:MOYEE
Middle Name:
Last Name:SIU
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 1:1754 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-1308
Mailing Address - Country:US
Mailing Address - Phone:408-885-1288
Mailing Address - Fax:408-885-0488
Practice Address - Street 1:1754 TECHNOLOGY DR
Practice Address - Street 2:SUITE 225
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-1308
Practice Address - Country:US
Practice Address - Phone:408-885-1288
Practice Address - Fax:408-885-0488
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7092171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist