Provider Demographics
NPI:1346915956
Name:DEENA PARRY WELLNESS
Entity Type:Organization
Organization Name:DEENA PARRY WELLNESS
Other - Org Name:DEENA PARRY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:818-309-8471
Mailing Address - Street 1:5308 DERRY AVE STE K
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4555
Mailing Address - Country:US
Mailing Address - Phone:818-309-8471
Mailing Address - Fax:
Practice Address - Street 1:5308 DERRY AVE STE K
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4555
Practice Address - Country:US
Practice Address - Phone:818-309-8471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty