Individual
CAROL W RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
(970) 204-0516
Mailing address
1517 16TH AVENUE CT, GREELEY, CO 80631-4574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT.0017150
CO
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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