Individual
MS. ROXANNA SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3807 BONNELL DR, AUSTIN, TX 78731-5845
(512) 371-9165
Mailing address
3807 BONNELL DR, AUSTIN, TX 78731-5845
(512) 371-9165
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00852
TX
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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