Individual
BRENDA GRIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 S VINE ST, OTIS, CO 80743-9241
(303) 359-7026
Mailing address
228 S VINE ST, OTIS, CO 80743-9241
(303) 359-7026
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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