Individual
MS. AUTUMN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M..T.
Contact information
Practice address
2174 S GILPIN ST, DENVER, CO 80210-4615
(720) 839-1499
Mailing address
2174 S GILPIN ST, DENVER, CO 80210-4615
(720) 839-1499
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT5135
CO
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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