Individual
MRS. MARY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10065 E HARVARD AVE STE 400, DENVER, CO 80231-5943
(303) 614-1400
Mailing address
13078 MONACO WAY, THORNTON, CO 80602-9191
(303) 918-5468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
183539
CO
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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