Individual
MARISSA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 QUIVAS ST, DENVER, CO 80204-4916
(303) 602-9224
Mailing address
1886 S LINCOLN ST, DENVER, CO 80210-3113
(970) 778-2241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0192578
CO
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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