Whitney Wickstrom Jacks, DAOM

NPI #1952180218 in Gardnerville, Nevada

Provider Information

NPI Number: 1952180218
Entity Type: Individual
Name: Whitney Wickstrom Jacks, DAOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: DAOM
Enumeration Date: Sep 26, 2023
Last Updated: Sep 26, 2023

Practice Location

Address: 1528 US HIGHWAY 395 N STE 230
City: Gardnerville
State: Nevada
ZIP Code: 89410-5226
Phone: (775) 783-4930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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