Individual
MS. XENIA D. MARADIAGA-GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5151 MAPLE AVE FL 4, DALLAS, TX 75235-8136
(469) 419-4800
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01230
TX
Other
Enumeration date
10/08/2010
Last updated
08/25/2022
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