Individual
RACHEL MALLIE NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
3405 PENROSE PL STE 206, BOULDER, CO 80301-1820
(904) 583-7473
Mailing address
1430 18TH ST APT 13, BOULDER, CO 80302-6460
(904) 583-7473
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002515
CO
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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