Individual
VANNESZA EUNICE GIRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
29692 ELLENSBURG AVE, GOLD BEACH, OR 97444-8701
(541) 247-2030
Mailing address
94322 BERRY RD, GOLD BEACH, OR 97444-7728
(805) 680-3876
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01293
OR
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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