Organization
PONDEROSA NATURAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRINA WALLACE ND (OWNER)
(971) 227-2613
Entity
Organization
Contact information
Practice address
244 N WASHINGTON ST, DENVER, CO 80203-4264
(971) 227-2613
Mailing address
PO BOX 65, IDLEDALE, CO 80453-0065
(971) 227-2613
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0000106
CO
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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