Individual
IVY MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1181 S PARKER RD STE 101, DENVER, CO 80231-2152
(303) 337-4884
Mailing address
PO BOX 411, BOULDER, CO 80306-0411
(541) 968-3633
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0000290
CO
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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