Individual
MS. VICKY JEAN TYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 S AMMONS ST, LAKEWOOD, CO 80226-1330
(303) 231-9811
Mailing address
65 S AMMONS ST, LAKEWOOD, CO 80226-1330
(303) 231-9811
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
84185
CO
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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