Organization
FUNCTIONAL HEALTH CENTER LLC
Active
Organization
FUNCTIONAL HEALTH CENTER LLC
Active
Other names
Allomong Center of Applied Kinesiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED WAYNE ALLOMONG D.C. (OFFICER)
(303) 678-1979
Entity
Organization
Contact information
Practice address
1600 HOVER ST, SUITE C1, LONGMONT, CO 80501-2462
(303) 678-1979
Mailing address
1600 HOVER ST, SUITE C1, LONGMONT, CO 80501-2462
(303) 678-1979
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6140
CO
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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