MR. Brennan Thomas Vandeveld, LAC

NPI #1699437004 in Agana, Guam

Provider Information

NPI Number: 1699437004
Entity Type: Individual
Name: MR. Brennan Thomas Vandeveld, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Oct 13, 2021
Last Updated: Oct 13, 2021

Practice Location

Address: 213 CHALAN SANTO PAPA
City: Agana
State: Guam
ZIP Code: 96910
Phone: (671) 483-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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