Individual
MS. ANTWONETTE MIXON PROTHRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCPT
Contact information
Practice address
4340 E KENTUCKY AVE, SUITE 462, GLENDALE, CO 80246-2060
(303) 815-1914
(303) 815-1915
Mailing address
4340 E. KENTUCKY AVENUE, SUITE 462, GLENDALE, CO 80246
(303) 815-1914
(303) 815-1915
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
091720
CO
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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