Individual
MS. MICHELLE BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRACTITIONER
Contact information
Practice address
2810 GRAPE ST, DENVER, CO 80207-2730
(720) 422-6784
Mailing address
PO BOX 18488, DENVER, CO 80218-0488
(720) 422-6784
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
11/02/2014
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