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VICKI PAYZANT BLACK L. AC.
>> Acupuncturist >> Other Service ProvidersRegistrant NPI Number: 1215113881
Individual Registrant: VICKI PAYZANT BLACK L. AC.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
98 HIGHWAY 119 NEDERLAND, CO 80466-0841 US
Tel: 303-258-1121 Fax: --
Tel: 303-258-1121 Fax: --
Contact information for business:
98 HIGHWAY 119 P.O. BOX 3059 NEDERLAND, CO 80466-0841 US
Tel: 303-258-1121 Fax: --
Tel: 303-258-1121 Fax: --
Registration Information:
NPI: 1215113881
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171100000X | Other Service Providers Acupuncturist | CO | ACU918 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
