Provider Demographics
NPI:1942342738
Name:MUECKL, WEN-FEN(WENDY) CHIEN (LAC)
Entity Type:Individual
Prefix:
First Name:WEN-FEN(WENDY)
Middle Name:CHIEN
Last Name:MUECKL
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 1:408 108TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6617
Mailing Address - Country:US
Mailing Address - Phone:425-454-6688
Mailing Address - Fax:
Practice Address - Street 1:408 108TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6617
Practice Address - Country:US
Practice Address - Phone:425-454-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000345171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist