Individual
AMBERLY DELANE CAUDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 978-4386
Mailing address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 978-4386
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
225155
TX
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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