Organization
BLOSSOM ACUPUNCTURE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE STILES BALDWIN LAC (OWNER/ACUPUNCTURIST)
(512) 850-5697
Entity
Organization
Contact information
Practice address
11651 JOLLYVILLE RD STE 150, AUSTIN, TX 78759-4106
(512) 850-5697
Mailing address
2008 SIMOND AVE APT D, AUSTIN, TX 78723-4555
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
01458
TX
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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