Tracey G Green, LIC. AC.

NPI #1467520361 in Marblehead, Massachusetts

Provider Information

NPI Number: 1467520361
Entity Type: Individual
Name: Tracey G Green, LIC. AC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LIC. AC.
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 70 ATLANTIC AVE
City: Marblehead
State: Massachusetts
ZIP Code: 01945-3042
Phone: (781) 639-5141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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