Individual
STACY RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
320 N MAIN ST, GUNNISON, CO 81230-2404
(970) 209-8310
(970) 641-5364
Mailing address
235 BLACKFOOT TRL, GUNNISON, CO 81230-9720
(970) 209-8310
(970) 641-5364
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
843
CO
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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