Individual
MISS LAURA VASALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P., L.M.T.
Contact information
Practice address
1101 W HIBISCUS BLVD, SUITE #105, MELBOURNE, FL 32901-2718
(321) 725-2438
(321) 725-8969
Mailing address
1101 W HIBISCUS BLVD, SUITE #105, MELBOURNE, FL 32901-2718
(321) 725-2438
(321) 725-8969
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1422
FL
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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