Individual
REANNON R UNTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
55 FIRST ST., GRANBY, CO 80446
(970) 281-3022
Mailing address
PO BOX 1423, GRANBY, CO 80446-1423
(970) 281-3022
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002306
CO
Other
Enumeration date
01/20/2011
Last updated
06/13/2022
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