Provider Demographics
NPI:1912073727
Name:XIE, JIAN-QIN
Entity Type:Individual
Prefix:
First Name:JIAN-QIN
Middle Name:
Last Name:XIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JIAN-QIN
Other - Middle Name:
Other - Last Name:XIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:L AC
Mailing Address - Street 1:1765 SCOTT BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4138
Mailing Address - Country:US
Mailing Address - Phone:408-615-7818
Mailing Address - Fax:408-615-7818
Practice Address - Street 1:1765 SCOTT BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4138
Practice Address - Country:US
Practice Address - Phone:408-615-7818
Practice Address - Fax:408-615-7818
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist