Individual
MICHELLE LYNN TREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, BSN, BSP
Contact information
Practice address
1990 DEPEW ST, #690, EDGEWATER, CO 80214
(720) 215-0552
Mailing address
1990 DEPEW ST, #690, EDGEWATER, CO 80214
(720) 215-0552
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
920398696
CO
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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