Individual
JESSICA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
470 W HARWOOD RD, HURST, TX 76054-2939
(817) 498-8449
Mailing address
7909 GARDENGATE LN, FORT WORTH, TX 76137-1071
(909) 781-1829
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
TX
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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