# PERILLA WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396296901
- **Authorized official:** FRANK ROBERT PERILLA M.AC, L.AC (LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (443) 280-2164

## Contact information

- **Practice address:** 611 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
- **Practice address phone:** (443) 280-2164
- **Mailing address:** PO BOX 6702, ANNAPOLIS, MD 21401-0702
- **Mailing address phone:** (443) 280-2164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02154 | MD | Yes |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 10/18/2016