Individual
NICHOLE L BASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
11285 HIGHLINE DR, NORTHGLENN, CO 80233-3076
(303) 853-3500
Mailing address
11285 HIGHLINE DR, NORTHGLENN, CO 80233-3076
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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