Individual
MR. BRENNAN THOMAS VANDEVELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
213 CHALAN SANTO PAPA, AGANA, GU 96910
(671) 483-9500
Mailing address
246 MAMA SANDY ST, PITI, GU 96915-5532
(671) 483-9500
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A-86
GU
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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