Provider Demographics
NPI:1730310855
Name:QU, JIALI (PHD LAC OMD)
Entity type:Individual
Prefix:DR
First Name:JIALI
Middle Name:
Last Name:QU
Suffix:
Gender:F
Credentials:PHD LAC OMD
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Mailing Address - Street 1:2070 W. SPRING CREEK PKWY
Mailing Address - Street 2:SUITE #314 JULIE'S ACUPUNCTURE AND HERBS
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023
Mailing Address - Country:US
Mailing Address - Phone:972-832-1584
Mailing Address - Fax:214-469-1390
Practice Address - Street 1:2070 W. SPRING CREEK PKWY
Practice Address - Street 2:SUITE #314
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023
Practice Address - Country:US
Practice Address - Phone:972-832-1584
Practice Address - Fax:214-469-1390
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAC00760171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist