Vadim Derevyanko, L.AC

NPI #1245573732 in Livermore, California

Provider Information

NPI Number: 1245573732
Entity Type: Individual
Name: Vadim Derevyanko, L.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC
Enumeration Date: Apr 3, 2013
Last Updated: Apr 3, 2013

Practice Location

Address: 1718 HOLMES ST
City: Livermore
State: California
ZIP Code: 94550-6012
Phone: (925) 766-6101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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