Organization
RIVER'S EDGE INTEGRATIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE VASQUEZ-BROWN (OWNER/MEMBER)
(802) 744-7284
Entity
Organization
Contact information
Practice address
4374 RT 100, WARREN, VT 05674-0567
(802) 744-7284
Mailing address
4372 VERMONT ROUTE 100, WARREN, VT 05674-9728
(603) 783-6714
(949) 437-3084
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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