NPI 1407115355

Amanda C. Goossen, MACLAC

Practitioner Acupuncturist Burlington, VT

Practice location

Address: 34 Elmwood Ave, Burlington, VT 05401-4346
Phone: (802) 272-7186

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 091.0078175 (VT)

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Registry record

NPI: 1407115355
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2012
Record last updated: 14 May 2012

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.