# DENISE MARY VONDRA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114347010
- **Gender:** F
- **Credential:** CAC II

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 0007617 | CO | Yes |

## Other

- **Enumeration date:** 04/18/2014
- **Last updated:** 04/18/2014