Individual
JENNIFER RACHEL DEMICHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1006 E 39TH ST, AUSTIN, TX 78751-5207
(512) 730-1880
Mailing address
3807 WILLOWBROOK DR, AUSTIN, TX 78722-1232
(512) 730-1880
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01419
TX
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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