Organization
SUN & MOON ACUPUNCTURE AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE RICHARDSON-SEVERO LAC, RN (PRESIDENT/CEO)
(718) 219-6053
Entity
Organization
Contact information
Practice address
21 CARMICHAEL ST STE 101, ESSEX JUNCTION, VT 05452-3186
(802) 662-1066
(802) 347-2095
Mailing address
4 PEARL ST APT 301, ESSEX JUNCTION, VT 05452-4097
(718) 219-6053
(802) 347-2095
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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