Individual
MS. ELISABETH ANN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOM
Contact information
Practice address
57 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-3317
(978) 660-4502
Mailing address
56 BURNHAM RD, BOLTON, MA 01740-1111
(978) 660-4502
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
241987
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2419867
ACUPUNCTURE LICENSE NUMBER
MA
Enumeration date
07/01/2009
Last updated
04/07/2020
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