Individual
MR. DARREN WALDRON MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, C.SMA
Contact information
Practice address
431 PINE ST STE 201, BURLINGTON, VT 05401-4726
(802) 324-3898
Mailing address
431 PINE ST STE 201, BURLINGTON, VT 05401-4726
(802) 324-3898
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
004865
NY
171100000X
Acupuncturist
Primary
091.0107964
VT
171100000X
Acupuncturist
25MZ00094000
NJ
Other
Enumeration date
09/19/2012
Last updated
07/20/2020
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