Provider Demographics
NPI:1245055003
Name:FEIST, ELLA JUSTINE ROMAINE (MAOM DAC)
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:JUSTINE ROMAINE
Last Name:FEIST
Suffix:
Gender:F
Credentials:MAOM DAC
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:JUSTINE
Other - Last Name:ROMAINE-HEWLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 IRVINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 IRVINGTON CT
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2414
Practice Address - Country:US
Practice Address - Phone:774-254-6593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist