Provider Demographics
NPI:1942751870
Name:LIM, HO YONG (EAMP, LAC, HERBALIST)
Entity type:Individual
Prefix:MR
First Name:HO
Middle Name:YONG
Last Name:LIM
Suffix:
Gender:M
Credentials:EAMP, LAC, HERBALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7137 MONTEVISTA DR SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-8224
Mailing Address - Country:US
Mailing Address - Phone:253-632-0555
Mailing Address - Fax:
Practice Address - Street 1:34503 9TH AVE S STE 320
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8726
Practice Address - Country:US
Practice Address - Phone:253-632-0555
Practice Address - Fax:253-944-4074
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-14
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60695229171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist