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Individual

MS. ADRIEL JANEEN BREAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIC.AC.

Contact information

Practice address
50 BEHARRALL ST, CONCORD, MA 01742
(617) 785-5256
Mailing address
101 HEATH ST #3, SOMERVILLE, MA 02145-1515
(617) 628-1880

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
226331
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7064K
EMPIRE BCBS
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
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