Individual
MS. RENEE TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, MAOM
Contact information
Practice address
214 MARKET ST, BRIGHTON, MA 02135-1946
(617) 407-4565
Mailing address
301 NEWTON ST, WALTHAM, MA 02453-0439
(781) 775-7705
(781) 735-7705
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
10/30/2020
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