Individual
ELISSA DIANE VIARENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
2001 S SHIELDS ST STE D204, FORT COLLINS, CO 80526-1888
(970) 484-8602
(970) 495-0139
Mailing address
2001 S SHIELDS ST STE D204, FORT COLLINS, CO 80526-1888
(970) 484-8602
(970) 495-0139
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
305
CO
Other
Enumeration date
04/14/2007
Last updated
07/24/2012
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