Individual
SHANNA HICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
303 E SUL ROSS AVE, ALPINE, TX 79830-4723
(432) 837-3225
Mailing address
303 E SUL ROSS AVE, ALPINE, TX 79830-4723
(432) 837-3225
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00490
TX
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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