Individual
MS. JENNIKA WILDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL. AC.
Contact information
Practice address
1697 COALTON RD, SUITE C, SUPERIOR, CO 80027-4646
(720) 352-3722
(303) 543-7007
Mailing address
11561 W 107TH PL, WESTMINSTER, CO 80021-3540
(720) 352-3722
(303) 543-7007
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
734
CO
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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