Individual
VIRGINIA E EICHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
727 ROCKY MOUNTAIN PL, LONGMONT, CO 80504-4027
(703) 939-0207
Mailing address
727 ROCKY MOUNTAIN PL, LONGMONT, CO 80504-4027
(703) 939-0207
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002088
CO
225700000X
Massage Therapist
MT.0017598
CO
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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