Organization
BLACKHAWK ACUPUNCTURE AND HERBAL HEALING CENTER LLC
Active
Other names
Pueblo Holistic Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY RENEE WALKER (MANAGING MEMBER)
(719) 396-5375
Entity
Organization
Contact information
Practice address
1307 FORTINO BLVD STE C, PUEBLO, CO 81008-2032
(719) 582-1010
(719) 631-7012
Mailing address
PO BOX 296, BEULAH, CO 81023-0296
(719) 396-5375
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0001916
CO
Other
Enumeration date
03/29/2017
Last updated
08/21/2020
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