Organization
SAGE HOLISTIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE G KOLOSKI ND, LAC (MANAGER/MEMBER)
(970) 667-7071
Entity
Organization
Contact information
Practice address
1136 N LINCOLN AVE, LOVELAND, CO 80537-4847
(970) 667-7071
Mailing address
1136 N LINCOLN AVE, LOVELAND, CO 80537-4847
(970) 667-7071
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
882
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942389119
INDIVIDUAL NPI
CO
Enumeration date
04/15/2011
Last updated
04/15/2011
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