Provider Demographics
NPI:1457556789
Name:XU, JINMEI (LIC AC)
Entity Type:Individual
Prefix:
First Name:JINMEI
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5530 MUNFORD ROAD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612
Mailing Address - Country:US
Mailing Address - Phone:919-819-8113
Mailing Address - Fax:866-889-6637
Practice Address - Street 1:5530 MUNFORD ROAD
Practice Address - Street 2:SUITE 109
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612
Practice Address - Country:US
Practice Address - Phone:919-819-8113
Practice Address - Fax:866-889-6637
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC342171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist