Individual
JESSICA LYNN ELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-8642
(858) 452-2246
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-8642
(858) 452-2246
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
11486
CA
171100000X
Acupuncturist
Primary
AP3197
FL
Other
Enumeration date
12/01/2009
Last updated
05/14/2013
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