Individual
WHITNEY WICKSTROM JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM
Contact information
Practice address
1528 US HIGHWAY 395 N STE 230, GARDNERVILLE, NV 89410-5226
(775) 783-4930
Mailing address
505 LARSSON ST, MANHATTAN BEACH, CA 90266-6734
(310) 955-6119
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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