Organization
ANCIENT ROOTS ACUPUNCTURE AND HERBAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA PORTALLA DAOM (ACUPUNCTURIST)
(603) 557-5237
Entity
Organization
Contact information
Practice address
20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI 02906-5448
(603) 557-5237
Mailing address
20 BLACKSTONE BLVD APT 14, PROVIDENCE, RI 02906-5448
(603) 557-5237
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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