Individual
MS. CONNIE QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3004 MEDICAL ARTS ST, AUSTIN, TX 78705-3305
(512) 236-1141
(512) 236-1141
Mailing address
3004 MEDICAL ARTS ST, AUSTIN, TX 78705-3305
(512) 236-1141
(512) 236-1141
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01203
TX
225700000X
Massage Therapist
MT038682
TX
Other
Enumeration date
09/29/2010
Last updated
10/11/2010
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