Individual
AMY SUPLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5277 MANHATTAN CIR, 102, BOULDER, CO 80303-8201
(970) 988-3087
Mailing address
PO BOX 17062, BOULDER, CO 80308-0062
(970) 988-3087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1314
CO
Other
Enumeration date
06/15/2009
Last updated
09/04/2015
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