Individual
TRACEY G GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC.
Contact information
Practice address
70 ATLANTIC AVE, MARBLEHEAD, MA 01945-3042
(781) 639-5141
Mailing address
19 BUENA VISTA RD, MARBLEHEAD, MA 01945-1327
(781) 639-5141
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
203406
MA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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