Individual
CARRIE CULLINANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 FOLKLORE AVE, LONGMONT, CO 80504-2608
(720) 203-0480
Mailing address
516 FOLKLORE AVE, LONGMONT, CO 80504-2608
(720) 203-0480
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002262
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACU.0002262
STATE OF COLORADO LICENSE
CO
Enumeration date
05/23/2016
Last updated
02/10/2020
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