Individual
COURTNEY MARIE PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(719) 659-1625
Mailing address
4141 E DICKENSON PLACE, DENVER, CO 80222
(719) 659-1625
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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