Individual
KELLY URTIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5310 HARVEST HILL RD STE 135, DALLAS, TX 75230-5845
(214) 471-5577
Mailing address
350 E VISTA RIDGE MALL DR APT 824, LEWISVILLE, TX 75067-4084
(210) 275-0451
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01970
TX
Other
Enumeration date
10/07/2020
Last updated
12/04/2024
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