Karissa Marlene Smith, L.A.C. , RN

NPI #1316585045 in Boulder, Colorado

Provider Information

NPI Number: 1316585045
Entity Type: Individual
Name: Karissa Marlene Smith, L.A.C. , RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.A.C. , RN
Enumeration Date: Dec 12, 2019
Last Updated: Dec 12, 2019

Practice Location

Address: 4770 PEARL STREET
Address 2: SUITE A
City: Boulder
State: Colorado
ZIP Code: 80301
Phone: (303) 506-1043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Acupuncturist	171100000X	Primary

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