Provider Demographics
NPI:1255895801
Name:DR. BRITTANY PICKETT-ROSE, LAC., DACM
Entity type:Organization
Organization Name:DR. BRITTANY PICKETT-ROSE, LAC., DACM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. ACUPUNCTURE & CHINESE MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKETT-ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:650-888-5408
Mailing Address - Street 1:205 RAMONA ST
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2521
Mailing Address - Country:US
Mailing Address - Phone:650-888-5408
Mailing Address - Fax:
Practice Address - Street 1:317 LOS GATOS SARATOGA RD
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-5310
Practice Address - Country:US
Practice Address - Phone:650-888-5408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty