Individual
MELISSA B LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, TXLAC
Contact information
Practice address
2502 MANOR RD, AUSTIN, TX 78722-2007
(512) 775-4057
Mailing address
2502 MANOR RD, AUSTIN, TX 78722-2007
(512) 775-4057
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00701
TX
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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