Individual
VICKIE DYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14804 NW 140TH ST, ALACHUA, FL 32615-6276
(386) 462-0020
Mailing address
16653 NW 167TH PL, ALACHUA, FL 32615-8908
(352) 316-3631
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3996
FL
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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