Individual
TRACY L REVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
38 VICTORIA ST, SOMERVILLE, MA 02144-1714
(857) 205-9235
Mailing address
38 VICTORIA ST, SOMERVILLE, MA 02144-1714
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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