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MRS. ALICEANNE LAVALLEE NCBTMB

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1255668562

Individual Registrant:
MRS. ALICEANNE  LAVALLEE NCBTMB
Gender: F
Sole Proprietor

Location and contact information for practice:
422 SCHOOLHOUSE ROAD  SUDBURY, VT 05733 US
Tel: 802-989-9250  Fax: --

Contact information for business:
PO BOX 7  WHITING, VT 05778-0007 US
Tel: 802-989-9250  Fax: --

Registration Information:
NPI: 1255668562
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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