# JABEZ WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407250814
- **Authorized official:** ANA MARIA VILLANUEVA DOM, AP (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (813) 758-5222

## Contact information

- **Practice address:** 122 RIVERSTONE COMMONS CIR, CANTON, GA 30114-5237
- **Practice address phone:** (813) 758-5222
- **Mailing address:** 122 RIVERSTONE COMMONS CIR, CANTON, GA 30114-5237
- **Mailing address phone:** (813) 758-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 314 | GA | Yes |

## Other

- **Enumeration date:** 10/14/2014
- **Last updated:** 10/14/2014