Individual
MS. DIANNE MARIE SPOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
548 FRONT ST, FAIRPLAY, CO 80440
(720) 346-3948
Mailing address
PO BOX 9378, BRECKENRIDGE, CO 80424-9031
(720) 346-3948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1264
CO
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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