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NPI Code Detail

MEDICARE: RISE ACUPUNCTURE & HOLISTIC MEDICINE

MEDICARE: RISE ACUPUNCTURE & HOLISTIC MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist

General Provider Information

NPI Number : 1902369515
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISE ACUPUNCTURE & HOLISTIC MEDICINE
Provider Business Mailing Address
First Line : 3401 QUEBEC ST STE 6900
Second Line :
City : DENVER
State : CO
Zip : 80207-2399
Country : US
Telephone Number : 720-507-7238
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 6900
Second Line :
City : DENVER
State : CO
Zip : 80207-2399
Country : US
Telephone Number : 720-507-7238
Fax Number :
Authorized Official
Title or Position : ACUPUNCTURIST
Name : ROCIO DE LA ROSA
Credential : L.AC.
Telephone Number : 720-507-7238
Provider Enumeration Date : 04/10/2019
Last Update Date : 04/10/2019

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Directions to “RISE ACUPUNCTURE & HOLISTIC MEDICINE ” Practice Location

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