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Individual

HEIDI WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5415 S DOVER ST, #101, LITTLETON, CO 80123-0746
(303) 895-5514
Mailing address
5415 S DOVER ST, #101, LITTLETON, CO 80123
(303) 895-5514

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34771
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34771
COLORADO LPN
CO
Enumeration date
06/09/2010
Last updated
06/09/2010
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