Individual
JENNIFER TIETZ-GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4212 SAN PEDRO AVE STE 101, SAN ANTONIO, TX 78212-1851
(210) 912-4766
Mailing address
531 SANDALWOOD LN, SAN ANTONIO, TX 78216-6915
(210) 912-4766
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00582
TX
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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