Individual
MS. ANDREA M. VAGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPL.AC. L.AC.
Contact information
Practice address
6700 LOOP RD BLDG 4, CENTERVILLE, OH 45459-2161
(937) 671-8737
Mailing address
7755 PARAGON RD, SUITE 109, CENTERVILLE, OH 45459-4055
(937) 671-8737
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000210
OH
Other
Enumeration date
10/13/2011
Last updated
06/27/2019
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