Individual
STEFANO VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.M., L.AC.
Contact information
Practice address
502 WOODDUCK LN, BLANCH, NC 27212-9599
(910) 817-4449
Mailing address
502 WOODDUCK LN, BLANCH, NC 27212-9599
(910) 817-4449
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000823
VA
171100000X
Acupuncturist
Primary
19
NC
171100000X
Acupuncturist
367
NM
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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