Individual
MR. STEFAN MATTHEW GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
20 TECHNOLOGY DR UNIT 7, BRATTLEBORO, VT 05301-9181
(503) 913-8551
Mailing address
370 RIVER RD, NEWFANE, VT 05345-9667
(503) 913-8551
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0125591
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902343098
NPI
—
Enumeration date
02/26/2015
Last updated
12/06/2022
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