Individual
VICTORIA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
172 JUSTICE CENTER RD, CANON CITY, CO 81212-9354
(719) 275-1626
(719) 275-4328
Mailing address
172 JUSTICE CENTER RD, CANON CITY, CO 81212-9354
(719) 275-1626
(719) 275-4328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200959
CO
163W00000X
Registered Nurse
R202539-7
MN
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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