Individual
DENISE EDMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
413 W BETHEL RD, SUITE 202, COPPELL, TX 75019-4473
(972) 506-8113
(214) 432-0684
Mailing address
116 DICKENS DR, COPPELL, TX 75019-2104
(512) 586-1738
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01118
TX
Other
Enumeration date
11/04/2009
Last updated
08/25/2010
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