Jennika Wildau, L.AC., DIPL. AC. Valid NPI
Individual provider · Acupuncturist · Superior, CO
- NPI
- 1265655807
- Type
- Individual (Type 1)
- Primary specialty
- Acupuncturist
- Specialty group
- Other Service Providers
- Taxonomy code
- 171100000X
- License number
- 734 (CO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Practice location
1697 Coalton Rd, Suite C
Superior, CO 80027-4646
(720) 352-3722