Organization
LIVING HEALTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDE R JACOBSON (OWNER)
(303) 447-1625
Entity
Organization
Contact information
Practice address
1625 FOLSOM ST, BOULDER, CO 80302-6717
(303) 447-1625
(303) 443-9335
Mailing address
1625 FOLSOM ST, BOULDER, CO 80302-6717
(303) 447-1625
(303) 443-9335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6260
CO
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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