Provider Demographics
NPI:1952353500
Name:WACLION INTERNATIONAL, INC
Entity type:Organization
Organization Name:WACLION INTERNATIONAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZONG
Authorized Official - Middle Name:LAN
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:LIC ACUPUNCTURIST
Authorized Official - Phone:305-275-8573
Mailing Address - Street 1:7800 SW 57TH AVE
Mailing Address - Street 2:SUITE 330-D
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5528
Mailing Address - Country:US
Mailing Address - Phone:305-275-8573
Mailing Address - Fax:
Practice Address - Street 1:7800 SW 57TH AVE
Practice Address - Street 2:SUITE 330-D
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5528
Practice Address - Country:US
Practice Address - Phone:305-275-8573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP-0000314171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty