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Individual

MS. THERIOTT SAMS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2217 CHAMPA ST, DENVER, CO 80205-2531
(720) 398-9666
Mailing address
2217 CHAMPA ST, DENVER, CO 80205-2531
(720) 398-9666

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35003
CO

Other

Enumeration date
04/04/2024
Last updated
04/04/2024
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