Individual
REBECCA MAE PADNOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
21 LAFOUNTAIN ST, BURLINGTON, VT 05401-4236
(802) 864-0214
Mailing address
21 LAFOUNTAIN ST, BURLINGTON, VT 05401-4236
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091-0000107
VT
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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