Provider Demographics
NPI:1891061750
Name:BROWNFIELD, BRIANNA (LAC, MTCM)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:BROWNFIELD
Suffix:
Gender:F
Credentials:LAC, MTCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10049 MARTIS VALLEY RD
Mailing Address - Street 2:UNIT G
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-0543
Mailing Address - Country:US
Mailing Address - Phone:530-448-9729
Mailing Address - Fax:530-419-0720
Practice Address - Street 1:10049 MARTIS VALLEY RD
Practice Address - Street 2:UNIT G
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0543
Practice Address - Country:US
Practice Address - Phone:530-448-9729
Practice Address - Fax:530-419-0720
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14453171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist