Individual
ALLISON JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
87 S MAIN ST STE 1, WATERBURY, VT 05676-1610
(802) 560-5499
Mailing address
87 S MAIN ST STE 1, WATERBURY, VT 05676-1610
(802) 560-5499
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
091.0115920
VT
171100000X
Acupuncturist
Primary
115920
VT
171100000X
Acupuncturist
174201
OR
Other
Enumeration date
11/19/2015
Last updated
02/23/2021
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