Individual
ELISE WALSH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
43 S MAIN ST, RANDOLPH, VT 05060-1363
(802) 728-9600
Mailing address
43 S MAIN ST, RANDOLPH, VT 05060-1363
(802) 728-9600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0126650
VT
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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