Individual
RITA FRANCES STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2760 29TH ST STE 1D, BOULDER, CO 80301-1295
(303) 443-1243
Mailing address
2760 29TH ST STE 1D, BOULDER, CO 80301-1295
(303) 443-1243
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
258
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-4109515
ACUPUNCTURE
CO
01
—
20-4109515
ACUPUNCTURE
—
Enumeration date
02/15/2018
Last updated
02/15/2018
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