Individual
NYSSA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC.AC.
Contact information
Practice address
250 MAIN ST STE 304, MONTPELIER, VT 05602-4257
(802) 552-0615
Mailing address
250 MAIN ST STE 304, MONTPELIER, VT 05602-4257
(802) 552-0615
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0134011
VT
Other
Enumeration date
09/05/2018
Last updated
07/19/2023
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