Individual
VICTORIA DIGIANNANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 E DEWEY PARK, EAGLE, CO 81631-5688
(970) 231-2347
Mailing address
PO BOX 6350, EAGLE, CO 81631-0018
(970) 231-2347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925814
CO
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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