Organization
MOUNTAIN BLOOM ORIENTAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA G BLETH L.AC., RN (OWNER/PRACTITIONER)
(970) 769-8730
Entity
Organization
Contact information
Practice address
1 MERCADO ST, SUITE 150, DURANGO, CO 81301-7306
(970) 769-8730
(970) 375-2207
Mailing address
454 HIGH TRAILS DR, DURANGO, CO 81301-6302
(970) 769-8730
(970) 375-2207
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
993
CO
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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