Individual
PHOEBE KHALIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
1555 N 17TH AVE, GREELEY, CO 80631-9117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1670840
CO
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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