Individual
DR. JAKE PAUL FRATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OMD, L.AC.
Contact information
Practice address
7764 JADE CT, BOULDER, CO 80303-3225
(303) 554-0722
(303) 554-0299
Mailing address
7764 JADE CT, BOULDER, CO 80303-3225
(303) 554-0722
(303) 554-0299
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
162
CO
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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