Individual
EVELYNE MAE MOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 12TH ST, GREELEY, CO 80631-4024
(970) 347-2120
Mailing address
1300 N 17TH AVE # 80631, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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