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Individual

MS. ALMA VANESSA GOLDSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC., A.P.

Contact information

Practice address
1430 SW SAINT LUCIE WEST BLVD STE 103, PORT ST LUCIE, FL 34986-2134
(772) 398-5400
(772) 446-4651
Mailing address
1430 SW SAINT LUCIE WEST BLVD STE 103, PORT ST LUCIE, FL 34986-2134
(772) 398-5400
(772) 446-4651

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
00787
NY
171100000X
Acupuncturist
2064
FL
171100000X
Acupuncturist
Primary
AP2064
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00787
ACUPUNCTURE LICENSE
NY
01
AP2064
ACUPUNCTURE LICENSE
FL
Enumeration date
01/11/2007
Last updated
11/02/2023
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