Individual
MR. ALIREZA MANSOORIRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
123 E. ASPEN, FRUITA, CO 81521-2321
(970) 858-6635
(970) 858-7925
Mailing address
324 N MAPLE ST, FRUITA, CO 81521-2321
(970) 858-6635
(970) 858-7925
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1088
CO
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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