Individual
CAROL DASHIELL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4100 AVENUE G, AUSTIN, TX 78751-4710
(512) 809-1422
Mailing address
4100 AVENUE G, AUSTIN, TX 78751-4710
(512) 809-1422
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC788
TX
Other
Enumeration date
05/15/2007
Last updated
07/14/2009
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