Individual
ARTISE A BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 WARREN ST, ROXBURY, MA 02119-3253
(617) 442-0111
(617) 442-0110
Mailing address
9 ITASCA ST, APT. 3, BOSTON, MA 02126-1429
(857) 919-3895
(617) 442-0110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5000
MA
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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