Provider Demographics
NPI:1194317685
Name:SCHUETZ, ADRIANNA LAURIE
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:LAURIE
Last Name:SCHUETZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1888 N WARBLER PL
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-2960
Mailing Address - Country:US
Mailing Address - Phone:646-702-3044
Mailing Address - Fax:
Practice Address - Street 1:1888 N WARBLER PL
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-2960
Practice Address - Country:US
Practice Address - Phone:646-702-3044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA18856171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist