Individual
KATHY L. WANDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1105 RIDGE RD # A, ROCKWALL, TX 75087-4217
(972) 772-3327
(972) 772-3327
Mailing address
1105 RIDGE RD # A, ROCKWALL, TX 75087-4217
(972) 772-3327
(972) 772-3327
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00565
TX
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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