Individual
STACEY DONELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DACM
Contact information
Practice address
275 S MAIN ST STE 206, LONGMONT, CO 80501-6461
(303) 772-0598
Mailing address
275 S MAIN ST STE 206, LONGMONT, CO 80501-6461
(303) 772-0598
(720) 302-0443
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1684
CO
Other
Enumeration date
08/27/2013
Last updated
04/25/2024
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