Individual
TANYA L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
737 29TH ST, SUITE 300 B, BOULDER, CO 80303-2317
(303) 875-2896
Mailing address
737 29TH ST, SUITE 300 B, BOULDER, CO 80303-2317
(303) 875-2896
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1375
CO
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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