Organization
JADE MOUNTAIN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN KELLY L. AC. (ACUPUNCTURIST, CO-OWNER)
(802) 399-2102
Entity
Organization
Contact information
Practice address
1 MILL ST, SUITE 305, BURLINGTON, VT 05401-1530
(802) 399-2102
Mailing address
1 MILL ST, SUITE 305, BURLINGTON, VT 05401-1530
(802) 399-2102
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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