| NPI | 1588158844 |
|---|---|
| Former Legal Business Name | VINE ACUPUNCTURE CLINIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | JOANNA BOUTZOUKAS Mgr/Owner 802-451-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: VT 091.0134003) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |