Individual
JODY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 BASALT CENTER CIR, BASALT, CO 81621
(970) 236-6178
Mailing address
PO BOX 1094, BASALT, CO 81621-1094
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0081903
VT
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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