Jesse Gilliam, L.AC

NPI #1740666809 in Harker Heights, Texas

Provider Information

NPI Number: 1740666809
Entity Type: Individual
Name: Jesse Gilliam, L.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC
Enumeration Date: Jul 30, 2015
Last Updated: Jul 30, 2015

Practice Location

Address: 560 E CENTRAL TEXAS EXPY
Address 2: #102
City: Harker Heights
State: Texas
ZIP Code: 76548-5727
Phone: (254) 698-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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