Provider Demographics
NPI:1689742413
Name:WOO, HO Y (LIC AC)
Entity Type:Individual
Prefix:
First Name:HO
Middle Name:Y
Last Name:WOO
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:ACUPUNCTURE OF WOO, INC.
Mailing Address - Street 2:1563 FALL RIVER AVENUE
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771
Mailing Address - Country:US
Mailing Address - Phone:508-336-5050
Mailing Address - Fax:
Practice Address - Street 1:ACUPUNCTURE OF WOO, INC.
Practice Address - Street 2:1563 FALL RIVER AVENUE
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771
Practice Address - Country:US
Practice Address - Phone:508-336-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA95171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist