Individual
BERLINE PASSIUS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10250 INTREPID WAY, COLORADO SPRINGS, CO 80925-8441
(561) 788-0910
Mailing address
2955 NEW CENTER PT # 1014, COLORADO SPRINGS, CO 80922-2806
(719) 755-2396
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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