Whalio Doctors

NPI 1699437004

Brennan Thomas Vandeveld, LAC

Practitioner Acupuncturist Agana, GU

Practice location

Address
213 Chalan Santo Papa, Agana, GU 96910
Phone
(671) 483-9500
Mailing address
246 Mama Sandy St, Piti, GU 96915-5532

Registered specialties

Acupuncturist Primary
Other Service Providers Taxonomy 171100000X Licence A-86 (GU)

Registry record

NPI
1699437004
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Oct 2021
Record last updated
13 Oct 2021

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.