Individual
MRS. AMBER NICOLE BEAHM RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, DIPL.AC
Contact information
Practice address
431 MAIN ST, UNIT 2, LYONS, CO 80540
(720) 445-5966
Mailing address
203 MCCONNELL CT, LYONS, CO 80540-3804
(720) 445-5966
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1710
CO
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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