Individual
RENDY MARICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1746 COLE BLVD STE 225, GOLDEN, CO 80401-3208
(303) 748-1574
Mailing address
8335 FAIRMOUNT DR UNIT 1-105, DENVER, CO 80247-1133
(303) 748-1574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NLC.0104405
CO
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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