Individual
VANESSA LEWALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2886 S 8TH ST, FERNANDINA BEACH, FL 32034-4462
(904) 468-7848
Mailing address
236 WILDLIGHT AVE, YULEE, FL 32097-5436
(912) 507-5150
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4670
FL
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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