Organization
RENEW ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SUPLEE LAC (OWNER)
(970) 988-3087
Entity
Organization
Contact information
Practice address
8120 SHERIDAN BLVD STE 205C, WESTMINSTER, CO 80003-6154
(970) 988-3087
Mailing address
PO BOX 17062, BOULDER, CO 80308-0062
(970) 988-3087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1314
CO
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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