Provider Demographics
NPI:1205470390
Name:ALL NATURAL MEDICINE CLINIC, LLC
Entity type:Organization
Organization Name:ALL NATURAL MEDICINE CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WANZHU
Authorized Official - Middle Name:
Authorized Official - Last Name:HOU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:301-770-4480
Mailing Address - Street 1:4801 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2235
Mailing Address - Country:US
Mailing Address - Phone:301-770-4480
Mailing Address - Fax:888-461-7979
Practice Address - Street 1:4801 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2235
Practice Address - Country:US
Practice Address - Phone:301-770-4480
Practice Address - Fax:888-461-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU00605OtherACUPUNCTURE
MDU2015OtherACUPUNCTURE