Individual
TIA CLAYBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 ZAIGER PL, COLORADO SPRINGS, CO 80915-2248
(719) 287-2902
(719) 265-1752
Mailing address
1506 ZAIGER PL, COLORADO SPRINGS, CO 80915-2248
(719) 287-2902
(719) 265-1752
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT0008471
CO
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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