Individual
MALLORY THOMAS HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 232-6301
Mailing address
1119 12TH ST APT C, GOLDEN, CO 80401-0719
(713) 410-4002
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0202541
CO
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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