Most Relevant Information
Provider Data
| NPI Number: | 1003210709 |
| Provider Name: | YEFIM GAMGONEISHVILI L.AC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC60461823 |
Most Important Dates
| Enumeration Date: | 10/09/2014 |
| Last Updated: | 10/09/2014 |
Provider Practice Location
2033 E SIMS WAY
PORT TOWNSEND
WA
983686905
Practice Location Phone/Fax
| Phone: | 3603442957 |
| Fax: |
Provider Mailing Location
907 W SREET
PORT TOWNSEND
WA
98368
Provider Mailing Phone/Fax
| Phone: | 3603796655 |
| Fax: |