Individual
SUSANNAH GRACE CARLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIPL. AC., DIPL. CHM
Contact information
Practice address
1010 EUCLID AVE, BOULDER, CO 80302-7222
(303) 938-1222
Mailing address
1010 EUCLID AVE, BOULDER, CO 80302-7222
(303) 938-1222
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
473
CO
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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