Provider Demographics
NPI:1306241468
Name:MIN, JUNE (L AC)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:
Last Name:MIN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:JUN
Other - Middle Name:M
Other - Last Name:MIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:L AC
Mailing Address - Street 1:1133 164TH ST SW STE 206
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-8192
Mailing Address - Country:US
Mailing Address - Phone:425-552-0629
Mailing Address - Fax:425-510-3120
Practice Address - Street 1:1133 164TH ST SW STE 206
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-8192
Practice Address - Country:US
Practice Address - Phone:425-552-0629
Practice Address - Fax:425-510-3120
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60537291171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty