Individual
SANDRA MEDINA BOCANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4911 MANCHACA RD, APT 117, AUSTIN, TX 78745-1684
(512) 809-5430
Mailing address
4911 MANCHACA RD, APT 117, AUSTIN, TX 78745-1684
(512) 809-5430
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01666
TX
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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