Organization
POKEY PRACTICE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SELVARAJAH MAC,DIPAC,LICAC (ACUPUNCTURIST)
(303) 305-9325
Entity
Organization
Contact information
Practice address
18 GARDEN CTR, BROOMFIELD, CO 80020-1730
(303) 305-9325
Mailing address
18 GARDEN CTR, BROOMFIELD, CO 80020-1730
(303) 305-9325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0001964
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750747838
NPI
—
Enumeration date
02/21/2016
Last updated
02/21/2016
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