Individual
LEI CUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5899 PRESTON RD STE 801, FRISCO, TX 75034-9592
(972) 668-2626
Mailing address
5725 HATHAWAY PKWY APT 9205, PLANO, TX 75024-5682
(407) 448-7853
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
TX
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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