Kathy L. Wanderer, L.AC.

NPI #1699835967 in Rockwall, Texas

Provider Information

NPI Number: 1699835967
Entity Type: Individual
Name: Kathy L. Wanderer, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Dec 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1105 RIDGE RD # A
City: Rockwall
State: Texas
ZIP Code: 75087-4217
Phone: (972) 772-3327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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