Individual
SHELBY VANDERBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
26 E MAIN ST STE 201, CLIFTON SPRINGS, NY 14432-1227
(315) 906-4042
Mailing address
PO BOX 583, CLIFTON SPRINGS, NY 14432-0583
(315) 906-4042
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006696-01
NY
171100000X
Acupuncturist
AK001195
PA
Other
Enumeration date
08/20/2016
Last updated
05/12/2021
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