Individual
LOUIS BEVACQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
492 FARR RD, WATERBURY, VT 05676-9270
(802) 595-8314
Mailing address
492 FARR RD, WATERBURY, VT 05676-9270
(802) 595-8314
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0000090
VT
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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