Individual
SAVANNAH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
313 W DRAKE RD, SUITE 210, FORT COLLINS, CO 80526-2846
(970) 472-0955
Mailing address
815 MAPLE ST, FORT COLLINS, CO 80521-1904
(707) 485-2147
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002183
CO
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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