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Contact Information

JADE DRAGON RED PHOENIX, LLC
2106 N 7TH ST
#132
WEST MONROE, LA71291-4445
 Phone: 318-521-0701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JADE DRAGON RED PHOENIX LLC · (Female)

NPI Number 1184029662
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2014
Last updated 10/27/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # ACA.200053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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