Individual
JOHANNA GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4559 SANDPIPER CT, BOULDER, CO 80301-5833
(303) 960-2525
Mailing address
4559 SANDPIPER CT, BOULDER, CO 80301-5833
(303) 960-2525
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0001950
CO
Other
Enumeration date
08/11/2017
Last updated
07/21/2022
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