Individual
SUSANNAH G NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4115 BOARDWALK DR, FORT COLLINS, CO 80525
(970) 226-0670
Mailing address
4249 KINGSBURY DR, FORT COLLINS, CO 80525
(970) 377-2610
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
552
CO
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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