Individual
JAYME EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3000 JOE DIMAGGIO BLVD STE 27, ROUND ROCK, TX 78665-3994
(512) 630-0478
Mailing address
3803 ROLLING HL, ROUND ROCK, TX 78681-3687
(312) 420-0478
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01442
TX
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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