Individual
MRS. KATHERINE PICOLA HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
195 W 14TH, RIFLE, CO 81650-4700
(970) 625-5200
Mailing address
542 N 4TH ST, SILT, CO 81652-8763
(970) 274-1331
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904043
CO
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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