Individual
SALLY E BOOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-3451
Mailing address
3968 SAINT PETERSBURG ST, BOULDER, CO 80301-6024
(303) 544-9008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75925
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005867
KAISER-COMMERCIAL NUMBER
—
Enumeration date
04/19/2007
Last updated
03/28/2008
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