Provider Demographics
NPI:1275050890
Name:BREWER, MONICA (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BREWER
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 DOWNING CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1740
Mailing Address - Country:US
Mailing Address - Phone:410-300-1039
Mailing Address - Fax:
Practice Address - Street 1:7135 MINSTREL WAY STE 204-A30
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5255
Practice Address - Country:US
Practice Address - Phone:443-720-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02444171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist