Individual
SHARON DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 678-3213
Mailing address
2345 BENT WAY, LONGMONT, CO 80503-7936
(303) 678-3213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43461
CO
Other
Enumeration date
06/19/2007
Last updated
07/12/2007
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