Individual
MRS. SOMA OLISOA GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC, D.O.M.
Contact information
Practice address
6620 GUNPARK DR, BOULDER, CO 80301-3339
(303) 581-9955
(303) 581-9944
Mailing address
1067 ORANGE PL, BOULDER, CO 80304-0730
(303) 931-6289
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
466
CO
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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