Individual
MELINDA ANN GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4031 E 115TH PL, THORNTON, CO 80233-2622
(303) 452-7103
Mailing address
4031 E 115TH PL, THORNTON, CO 80233-2622
(303) 452-7103
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3340
CO
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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