Individual
HOLLY M MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
7410 NEW LA GRANGE RD STE 207, LOUISVILLE, KY 40222-4871
(502) 882-0545
Mailing address
7410 NEW LAGRANGE ROAD STE 207, LOUISVILLE, KY 40222
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC129
KY
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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