Individual
MISS SONYA MICHELLE COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
750 PROGRESS DR, FOUNTAIN, CO 80817-4177
(719) 310-1978
Mailing address
750 PROGRESS DR, FOUNTAIN, CO 80817-4177
(719) 310-1978
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37947
CO
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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