NPI 1700523040
Ancient Roots Acupuncture and Herbal Medicine
Practice location
- Address
- 20 Blackstone Blvd APT 14, Providence, RI 02906-5448
- Phone
- (603) 557-5237
Authorised official
- Name
- Tamra Portalla
- Title
- Acupuncturist
- Phone
- (603) 557-5237
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1700523040
- Entity type
- Organization
- NPI issued
- 18 May 2022
- Record last updated
- 18 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.