Individual
MRS. JACLYN VANDERBEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
130 MAPLE AVENUE, BUILDING 9, SUITE 9, RED BANK, NJ 07701
(732) 889-9228
Mailing address
130 MAPLE AVENUE, BUILDING 9, SUITE 9, RED BANK, NJ 07701
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00126800
NJ
Other
Enumeration date
09/05/2017
Last updated
03/17/2018
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