Individual
MRS. ELLEN MARIE MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1119 N 1ST ST, GRAND JUNCTION, CO 81501-2176
(970) 256-0868
Mailing address
2220 ROSEWOOD LN, GRAND JUNCTION, CO 81505-9715
(970) 255-9116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3650
CO
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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