Individual
VEGA BRHELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC, MSOM
Contact information
Practice address
1460 E VALLEY RD STE 147, BASALT, CO 81621-8414
(970) 922-8708
Mailing address
3201 ELK LN, BASALT, CO 81621-8210
(970) 922-8708
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002131
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACU.0002131
ACUPUNCTURE LICENSE
CO
Enumeration date
03/08/2019
Last updated
03/08/2019
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