Individual
MS. SUSAN JANE BREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
236 PONTOTOC, MASON, TX 76856
(512) 970-6093
Mailing address
3600 N HILLS DR, 134, AUSTIN, TX 78731-2439
(512) 970-6093
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00578
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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