Individual
NIQUOLE KELLY EGAN-RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
1200 S HOVER ST, LONGMONT, CO 80501-7902
(303) 845-4215
Mailing address
1200 S HOVER ST, LONGMONT, CO 80501-7902
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
265394
CO
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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