Individual
VICKI S PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 421-5061
Mailing address
4803 WARD ROAD, WHEAT RIDGE, CO 80033
(303) 421-5061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91200
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000852
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/05/2007
Last updated
07/12/2007
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