Individual
INGRID KERRY DIAZ REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
151 KIRKHAM CIR, KYLE, TX 78640-9703
(512) 893-3376
Mailing address
157 HAZELNUT CT, DRIFTWOOD, TX 78619-4489
(716) 361-8632
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC02142
TX
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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