Individual
SERENA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 WYANDOT ST APT B, DENVER, CO 80211-4315
(720) 295-4594
Mailing address
2845 WYANDOT ST APT B, DENVER, CO 80211-4315
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002198
CO
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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