Individual
JODY SHONN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1303 NE CUSHING DR, SUITE 150, BEND, OR 97701-3887
(541) 382-7875
(541) 382-2181
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1118
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01145
TX
Other
Enumeration date
03/02/2010
Last updated
12/28/2011
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