Individual
MS. BRENDA KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11059 E BETHANY DR STE 101, AURORA, CO 80014-2617
(303) 617-2300
Mailing address
17471 E 15TH PL, AURORA, CO 80011-5003
(303) 344-5645
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
98-105-1019
CO
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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