Individual
CHARLES BALTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2844 TYSON RD, SOUTH READING, VT 05153-9673
(802) 236-3623
Mailing address
2844 TYSON RD, SOUTH READING, VT 05153-9673
(802) 236-3623
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0064485
VT
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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