Individual
MS. AMY LEE VLACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
1511 4TH ST N, ST PETERSBURG, FL 33704-4411
(727) 289-7250
Mailing address
2919 DARTMOUTH AVE N, SAINT PETERSBURG, FL 33713-7725
(727) 371-6565
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
264
NH
171100000X
Acupuncturist
Primary
4087
FL
Other
Enumeration date
11/30/2017
Last updated
07/10/2021
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