Individual
MARY ANN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 IRWIN ST, CLIFTON, CO 81520-7401
(970) 210-6966
Mailing address
605 IRWIN ST, CLIFTON, CO 81520-7401
(970) 210-6966
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
94-186-0838
CO
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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