Individual
COLLENE FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Contact information
Practice address
1225 CIMARRON DR, SUITE 201, LAFAYETTE, CO 80026-3812
(303) 421-1106
Mailing address
1225 CIMARRON DR, SUITE 201, LAFAYETTE, CO 80026-3812
(303) 421-1106
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
COZ0501949
CO
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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