Individual
KAZUKO DEVIRGILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
10601 PECAN PARK BLVD STE 302, AUSTIN, TX 78750-1448
(512) 507-2854
Mailing address
709 MAPLECREEK DR, LEANDER, TX 78641-7965
(512) 507-2854
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01977
TX
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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