Organization
EARTH SEA ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON H JACOB LAC (OWNER)
(802) 560-5499
Entity
Organization
Contact information
Practice address
87 S MAIN ST, WATERBURY, VT 05676-1609
(802) 560-5499
Mailing address
87 S MAIN ST, WATERBURY, VT 05676-1609
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497129001
NPI
—
Enumeration date
11/22/2021
Last updated
11/22/2021
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