Individual
DENISE MARY VONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC II
Contact information
Practice address
1644 S COLLEGE AVE, FORT COLLINS, CO 80525-1007
(940) 221-0999
Mailing address
1644 S COLLEGE AVE, FORT COLLINS, CO 80525-1007
(970) 221-0999
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0007617
CO
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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