Provider Demographics
NPI:1437213204
Name:BROWN, JOYCE MARIE (L AC)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 NE FUSON RD
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-3727
Mailing Address - Country:US
Mailing Address - Phone:360-792-2586
Mailing Address - Fax:
Practice Address - Street 1:1970 NE FUSON RD
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98311-3727
Practice Address - Country:US
Practice Address - Phone:360-792-2586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000204171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist