Provider Demographics
NPI:1316317332
Name:ULANOWSKI, CHRISTINE (LIC AC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ULANOWSKI
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CROMBIE ST
Mailing Address - Street 2:UNIT 15
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3364
Mailing Address - Country:US
Mailing Address - Phone:617-872-4082
Mailing Address - Fax:
Practice Address - Street 1:7 CROMBIE ST
Practice Address - Street 2:UNIT 15
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3364
Practice Address - Country:US
Practice Address - Phone:617-872-4082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist