Provider Demographics
NPI:1932119625
Name:SHI, AIYING (LAC)
Entity Type:Individual
Prefix:
First Name:AIYING
Middle Name:
Last Name:SHI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2711 SW 310TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-7870
Mailing Address - Country:US
Mailing Address - Phone:253-874-7483
Mailing Address - Fax:253-874-7483
Practice Address - Street 1:32114 1ST AVE S
Practice Address - Street 2:SUITE 104
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5760
Practice Address - Country:US
Practice Address - Phone:253-632-1530
Practice Address - Fax:253-874-7483
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002790171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist