Individual
TRICIA MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1192 INDIANA AVE, CANON CITY, CO 81212-8608
(715) 514-5056
Mailing address
1192 INDIANA AVE, CANON CITY, CO 81212-8608
(715) 514-5056
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002058
CO
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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