Individual
JILL L GRIVETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
280 EXEMPLA CIR, ROCK CREEK MEDICAL OFFICES, LAFAYETTE, CO 80026-3370
(720) 536-6806
Mailing address
2400 24TH AVE, LONGMONT, CO 80503-8140
(303) 772-5216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163905
CO
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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