Individual
MS. JESSICA JANE AHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., MSOM
Contact information
Practice address
1215 E MISSOURI AVE, A-100, PHOENIX, AZ 85014-2914
(602) 284-9934
Mailing address
1215 E MISSOURI AVE, A-100, PHOENIX, AZ 85014-2914
(602) 284-9934
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0738
AZ
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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