Individual
MRS. MARCIA A MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2693 N HIGHWAY 77 STE 2105, WAXAHACHIE, TX 75165-6168
(469) 517-0683
(469) 517-0683
Mailing address
2693 N HIGHWAY 77 STE 2105, WAXAHACHIE, TX 75165-6168
(469) 517-0683
(469) 517-0683
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC000794
TX
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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