Individual
KIMBERLY VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 28TH ST, DENVER, CO 80205-3003
(303) 602-6333
Mailing address
501 28TH ST, DENVER, CO 80205-3003
(303) 602-6333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0188053
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188053
RN LICENSE #
CO
Enumeration date
08/18/2016
Last updated
08/18/2016
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