Individual
ETHEL J HIESTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 743-5855
Mailing address
8909 FIELD ST, #100, WESTMINSTER, CO 80021-7727
(303) 279-5553
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010091
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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