Individual
MS. JENNIFER C DELUISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
15919 29TH ST E, PARRISH, FL 34219-1854
(907) 202-5577
(907) 865-2433
Mailing address
15919 29TH ST E, PARRISH, FL 34219-1854
(907) 202-5577
(907) 865-2433
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1067
NM
Other
Enumeration date
11/03/2011
Last updated
08/07/2020
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