Individual
MRS. SARA MAUREEN KOSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER NUTRITION THE
Contact information
Practice address
2955 E 1ST AVE STE. 200, PURAVIDA, DENVER, CO 80206
(303) 999-2934
Mailing address
2955 E 1ST AVE STE. 200, PURAVIDA, DENVER, CO 80206
(303) 999-2934
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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