Individual
MARIEKA THERESE STAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4231 W 16TH AVE, DENVER, CO 80204-1335
(303) 629-3511
Mailing address
DEPT 1057, DENVER, CO 80291-1057
(303) 486-5504
(303) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN179427
CO
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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