Individual
MS. SOPHIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2975 VALMONT RD STE 320, BOULDER, CO 80301-1361
(720) 696-0511
Mailing address
2975 VALMONT RD STE 320, BOULDER, CO 80301-1361
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0002634
CO
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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