Individual
TINA ELAINE VECERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
780 2ND ST SE STE 3, BANDON, OR 97411-8354
(541) 217-0707
Mailing address
PO BOX 2173, BANDON, OR 97411-2173
(541) 217-0707
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00337
OR
Other
Enumeration date
02/26/2007
Last updated
01/02/2023
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