| NPI | 1518478791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYLEN SLOTE Owner Operator 802-322-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 174H00000X Health Educator |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |