Individual
JILLIAN ALSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD STE I7, AUSTIN, TX 78759-8659
(830) 708-3610
Mailing address
11421 HUNGRY HORSE DR, MANOR, TX 78653-4657
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01879
TX
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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