Individual
MISS VANESSA LEA POMFRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 494-3119
(720) 494-3171
Mailing address
12814 KING ST, BROOMFIELD, CO 80020-3853
(303) 875-8206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177567
CO
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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