NPI 1104301902

Jannah Holley Vise, LAC

Practitioner Acupuncturist Canyon Lake, TX

Practice location

Address: 190 Crazy Horse Trail, Canyon Lake, TX 78133
Phone: (512) 569-9178
Mailing address: 1308 Common St STE 205, New Braunfels, TX 78130-3561

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC01654 (TX)

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Registry record

NPI: 1104301902
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2018
Record last updated: 27 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.