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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRENNAN THOMAS VANDEVELD, LAC

Active Sole Proprietor

MR. BRENNAN THOMAS VANDEVELD, LAC is a Acupuncturist healthcare provider located in AGANA, Guam. NPI 1699437004 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · AGANA, GU

Registration Details

NPI Number
1699437004
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2021 (4.7981438471631 yrs)
Last Updated
Oct 13, 2021
License
A-86 (GU)
Sole Proprietor
Yes

Practice Information

Address
213 CHALAN SANTO PAPA
AGANA, GU, 96910
Browse GU providers · Browse ZIP 96910
Phone
6714839500
Primary Specialty
Acupuncturist
171100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.