Individual
GENEVIEVE R VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
443 MAIN ST, BIDDEFORD, ME 04005-2124
(207) 558-1131
Mailing address
443 MAIN ST, BIDDEFORD, ME 04005-2124
(207) 558-1131
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC507
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598482226
NPI
—
Enumeration date
10/20/2014
Last updated
11/02/2022
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