Individual
PEYTON MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
9395 COVE CREEK DR, HIGHLANDS RANCH, CO 80129-6467
(720) 841-1901
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12-216-1000
CO
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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