Healthcare Provider Details

I. General information

NPI: 1063735660
Provider Name (Legal Business Name): JULIE ANN HOFFMAN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 E BEALE ST STE 5
KINGMAN AZ
86401-5941
US

IV. Provider business mailing address

9410 N DIAMOND BAR AVE
KINGMAN AZ
86401-7601
US

V. Phone/Fax

Practice location:
  • Phone: 928-385-1067
  • Fax: --
Mailing address:
  • Phone: 818-392-8253
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-012190
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: