Organization
ELEVATION ACUPUNCTURE & HERBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN VIDAIC L. AC., DIPL. OM (OWNER/ACUPUNCTURIST)
(303) 888-7895
Entity
Organization
Contact information
Practice address
3014 BLUFF ST, SUITE 201, BOULDER, CO 80301-2166
(303) 888-7895
Mailing address
655 W LOCUST CT, LOUISVILLE, CO 80027-1018
(303) 888-7895
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1273
CO
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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