Individual
EILEEN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
510 N MAIN ST, CIBOLO, TX 78108-3509
(210) 455-1388
Mailing address
510 N MAIN ST, CIBOLO, TX 78108-3509
(210) 455-1388
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01967
TX
Other
Enumeration date
05/19/2021
Last updated
07/12/2022
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