Individual
JANNAH HOLLEY VISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC
Contact information
Practice address
190 CRAZY HORSE TRAIL, CANYON LAKE, TX 78133
(512) 569-9178
Mailing address
1308 COMMON ST STE 205, NEW BRAUNFELS, TX 78130-3561
(512) 569-9178
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01654
TX
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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