Individual
TYLER VANGEMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1315 MAIN AVE, SUITE 209, DURANGO, CO 81301-5173
(970) 247-1233
Mailing address
1315 MAIN AVE, SUITE 209, DURANGO, CO 81301-5173
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1400
CO
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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