Individual
JACQUELINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
518 HARRISON AVE, LEADVILLE, CO 80461-3558
(719) 239-1452
Mailing address
518 HARRISON AVE, LEADVILLE, CO 80461-3558
(719) 239-1452
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002461
CO
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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