Individual
CORALIE SIBYLLE PHANORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
361 CENTENNIAL PKWY STE 120, LOUISVILLE, CO 80027-1255
(303) 465-2323
Mailing address
3100 BROADWAY ST APT 201, BOULDER, CO 80304-2601
(631) 522-8637
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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