Provider Demographics
NPI:1447718846
Name:PICKETT-ROSE, BRITTANY (DACM)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:PICKETT-ROSE
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 MILLER AVE # B
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-2528
Mailing Address - Country:US
Mailing Address - Phone:650-888-5408
Mailing Address - Fax:
Practice Address - Street 1:1 APPLE PARK WAY
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0642
Practice Address - Country:US
Practice Address - Phone:650-888-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-05
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
CAAC17444171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty