Individual
ASHLEY WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
718 KIMBARK ST, LONGMONT, CO 80501-4950
(720) 453-5637
Mailing address
718 KIMBARK ST, LONGMONT, CO 80501-4950
(720) 453-5637
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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