Individual
MELISSA RAGEN BOBIC CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Mailing address
108 BOTHUN RD, BERTHOUD, CO 80513-9529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0194362
CO
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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