NPI 1245573732

Vadim Derevyanko, LAC

Practitioner Acupuncturist Livermore, CA

Practice location

Address: 1718 Holmes St, Livermore, CA 94550-6012
Phone: (925) 766-6101
Mailing address: 4131 Bristlecone Way, Livermore, CA 94551

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AC14899 (CA)

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Registry record

NPI: 1245573732
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2013
Record last updated: 3 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.