Individual
KARISSA MARLENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.C. , RN
Contact information
Practice address
4770 PEARL STREET, SUITE A, BOULDER, CO 80301
(303) 506-1043
Mailing address
457 MAXWELL AVE, APT B, BOULDER, CO 80304
(303) 506-1043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0193655
CO
171100000X
Acupuncturist
Primary
ACU0002503
CO
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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