Provider Demographics
NPI:1669024451
Name:ARTEMISIA ACUPUNCTURE AND APOTHECARY INC.
Entity Type:Organization
Organization Name:ARTEMISIA ACUPUNCTURE AND APOTHECARY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMRYN
Authorized Official - Middle Name:STORM
Authorized Official - Last Name:HAWKER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:831-235-0437
Mailing Address - Street 1:96 W VILLA ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3343
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:96 W VILLA ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3343
Practice Address - Country:US
Practice Address - Phone:831-235-0437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty