Organization
VIBRANT HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGNIESZKA KEMP LAC (OWNER)
(541) 247-7000
Entity
Organization
Contact information
Practice address
29980 ELLENSBURG AVE, GOLD BEACH, OR 97444-7808
(541) 247-7000
Mailing address
PO BOX 727, GOLD BEACH, OR 97444-0727
(541) 247-7000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC169995
OR
Other
Enumeration date
12/13/2014
Last updated
12/13/2014
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