Jannah Holley Vise, L. AC

NPI #1104301902 in Canyon Lake, Texas

Provider Information

NPI Number: 1104301902
Entity Type: Individual
Name: Jannah Holley Vise, L. AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L. AC
Enumeration Date: Sep 27, 2018
Last Updated: Sep 27, 2018

Practice Location

Address: 190 CRAZY HORSE TRAIL
City: Canyon Lake
State: Texas
ZIP Code: 78133
Phone: (512) 569-9178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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