Provider Demographics
NPI:1477165884
Name:YOUR WELLNESS ACUPUNCTURE
Entity Type:Organization
Organization Name:YOUR WELLNESS ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIANO
Authorized Official - Suffix:
Authorized Official - Credentials:LICAC
Authorized Official - Phone:978-314-3216
Mailing Address - Street 1:234 CAUSEWAY ST APT 708
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2112
Mailing Address - Country:US
Mailing Address - Phone:978-314-3216
Mailing Address - Fax:
Practice Address - Street 1:137 NEWBURY ST FL 6
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-2912
Practice Address - Country:US
Practice Address - Phone:617-991-6552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty