Individual
BRYAN ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 WHITE PINE DRIVE, SOUTH LONDONDERRY, VT 05155
(802) 770-8733
Mailing address
PO BOX 207, BONDVILLE, VT 05340-0207
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
91.0114227
VT
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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