Individual
DENISE ANN BACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3336
Mailing address
2230 E ORMAN AVE, PUEBLO, CO 81004-3923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0096261
CO
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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